Jeremy Bradford Petrous DO

  • NPI 1639584196
According to our database, the NPI number for Jeremy Bradford Petrous DO is 1639584196 and activated since 9 years ago. Jeremy Bradford Petrous DO is an individual provider who specializes in Psychiatry, and the primary practice location is 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546. You can also contact Jeremy Bradford Petrous DO via telephone number is (616) 391-3759. Provider NPI information was last updated on 02/25/2021.

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Overview of Jeremy Bradford Petrous DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/24/2014
  • Last updated: 02/25/2021

Primary Scrop of Practice

  • Taxonomy Code: 2084P0800X
  • Specialty: Psychiatry
  • License Number: 5101021240
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne # Mc845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4100 Lake Dr Se Ste 200
    Grand Rapids, MI 49546
  • Phone: 616-391-3759
  • Fax:

Scope of Practice

  • Taxonomy Code: 2084P0800X
  • Specialty: Psychiatry
  • License Number: 5101021240
  • License State: MI
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeremy Bradford Petrous DO?
  • A: The npi number for Jeremy Bradford Petrous DO is 1639584196.
  • Q: What are Jeremy Bradford Petrous DO's specialties?
  • A: Jeremy Bradford Petrous DO's specialties are Psychiatry and different specialities.
  • Q: What is the medical license for Jeremy Bradford Petrous DO?
  • A: The medical license number for Jeremy Bradford Petrous DO is 5101021240 and issued in MI in USA.
  • Q: Where is Jeremy Bradford Petrous DO practice location?
  • A: Jeremy Bradford Petrous DO is practicing at 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546.
  • Q: How to contact Jeremy Bradford Petrous DO?
  • A: You can contact Jeremy Bradford Petrous DO via 616-391-3759.