NPI 1003015314

Michelle Renae Bradley, DO

Practitioner Family Medicine Physician Fargo, ND

Practice location

Address: 4110 51st Ave S, Fargo, ND 58104-7776
Phone: (701) 364-3100
Mailing address: 1702 South University Drive, Fargo, ND 58103-4940

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 14577 (ND)

Other Family Medicine providers in North Dakota →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 52168 (MN)

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence PT14577 (ND)

Registry record

NPI: 1003015314
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.