LESLIE S BRADFORD


Address: 100 Campus Dr Ste 125, Scarborough, ME 04074-7171
Phone: 2078830069

LESLIE S BRADFORD (NPI# 1124063441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124063441
Entity Type Individual
Full Name LESLIE S BRADFORD
Credential M.D.
Practice Address 100 Campus Dr Ste 125
Scarborough
ME 04074-7171
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 2078830069
Enumeration Date 2006-06-19
Last Update Date 2018-01-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 242806 MA Allopathic & Osteopathic Physicians
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
242806 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110085476A 05
ME MEDICARE E400422720 01
ME MEDICARE E400422717 01

Other Providers LESLIE BRADFORD

NPI Name Taxonomy Address Enumeration
1740758374 Leslie Ann Bradford Speech-Language Pathologist 707 Ridgeview Dr, Rockwall, TX 75087-4136 2018-11-13

Office Location

Street Address 100 CAMPUS DR STE 125
City SCARBOROUGH
State ME
Zip Code 04074-7171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639604440 Emily Longacre Thompson Obstetrics & Gynecology 100 Campus Dr Ste 125, Scarborough, ME 04074-7171 2017-04-30
1841225109 Mary E. Gamache Nurse Practitioner 100 Campus Dr Ste 125, Scarborough, ME 04074 2006-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407462443 Jennifer Marlowe Counselor Crossroads Maine 71-us-1, Scarborough, ME 04074 2020-09-16
1508475724 Whole Medicine LLC Family Medicine 2o Mussey Road, Suite 2, Scarborough, ME 04074 2020-07-23
1154957793 Maria Robin Libby Occupational Therapist 144 Us-1 #4, Scarborough, ME 04074 2020-03-16
1558902932 Daphne Berta Counseling P.C. Counselor 636 Route 1, Scarborough, ME 04074 2019-10-07
1619450574 Louise Valati Physical Therapist Piper Shores, 15 Piper Road, Scarborough, ME 04074 2018-09-07
1770001315 Emily Dunuwila Massage Therapist 51 Us Route One Suite R2, Scarborough, ME 04074 2017-09-04
1750808788 Jill Daicey Hutchison Physical Therapy Assistant 67 Pine Point Road, Scarborough, ME 04074 2017-08-30
1457887580 Rebecca Shaw Social Worker 119 Ash Swamp Road, Scarborough, ME 04074 2017-05-10
1184168767 Jessica Ann Kaake Occupational Therapist 308 Us Route 1 Ste E1, Scarborough, ME 04074 2016-12-15
1356895056 Nancy Gaudet Counselor 6 Catherine Drive, Scarborough, ME 04074 2016-08-10
Find all providers in zip 04074

Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639604440 Emily Longacre Thompson Obstetrics & Gynecology 100 Campus Dr Ste 125, Scarborough, ME 04074-7171 2017-04-30
1518189349 Jason A Lachance Obstetrics & Gynecology 102 Campus Dr, Scarborough, ME 04074-9692 2007-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932342524 Rashmi Bawa Obstetrics & Gynecology 163 Van Buren Rd Ste 1, Caribou, ME 04736-3567 2009-04-12

Competitor

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City SCARBOROUGH
Zip Code 04074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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