Mr John Earl Bradford Jr, is a
Rehabilitation Practitioner based in Rialto, California. Mr John Earl Bradford Jr is licensed to practice in California (license number ) and his current practice location is
850 E Foothill Blvd, Rialto, California. He can be reached at his office (for appointments etc.) via phone at
(909) 873-4409.
NPI number for Mr John Earl Bradford Jr is 1467056036 and his current mailing address is 850 E Foothill Blvd, Rialto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467056036.
Healthcare Provider's Profile
| Full Name | Mr John Earl Bradford Jr |
|---|
| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
|---|
| Location | 850 E Foothill Blvd, Rialto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467056036
- Provider Enumeration Date: 11/24/2020
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Mr John Earl Bradford Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467056036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Earl Bradford Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Earl Bradford Jr,
850 E Foothill Blvd,
Rialto, CA 92376-5230
Ph: () - | Mr John Earl Bradford Jr,
850 E Foothill Blvd,
Rialto, CA 92376-5230
Ph: (909) 873-4409 |
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