Dr SHAYNE D BRADFORD PA is a male medical professional, specializing in Physician Assistant. He graduated in 1997.
LIFEBRIDGE COMMUNITY PHYSICIANS INC
5401 OLD COURT RD
RANDALLSTOWN
MD
211335103
Tel:
| Npi | 1841251386 |
| Pac Id | 9830177740 |
| Professional Enrollment Id | I20040708000550 |
| Last Name | BRADFORD |
| First Name | SHAYNE |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LIFEBRIDGE COMMUNITY PHYSICIANS INC |
| Group Practice Pac Id | 3678751468 |
| Number Of Group Practice Members | 111 |
| Line 1 Street Address | 5401 OLD COURT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 211335103 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 210040 |
| Hospital Affiliation Lbn 1 | NORTHWEST HOSPITAL CENTER |
| Hospital Affiliation Ccn 2 | 210012 |
| Hospital Affiliation Lbn 2 | SINAI HOSPITAL OF BALTIMORE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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