Provider Demographics
NPI:1265420939
Name:FINK, BRADLEY ALLAN (DO)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:ALLAN
Last Name:FINK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11000 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3961
Mailing Address - Country:US
Mailing Address - Phone:215-926-3777
Mailing Address - Fax:215-926-3376
Practice Address - Street 1:11000 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3961
Practice Address - Country:US
Practice Address - Phone:215-926-3777
Practice Address - Fax:215-926-3376
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S008193L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2150959OtherOXFORD
1931335OtherUNITED HEALTHCARE
PA3Y5522OtherHEALTH NET
5499042001OtherCIGNA
P00219735OtherRAILROAD MEDICARE
PA276073OtherBLUE CROSS PRODUCTS
200037942OtherMEDICARE RR
3433566OtherAETNA
NJ276073OtherBLUE CROSS PRODUCTS
0562246000OtherKEYSTONE
200551991OtherPHCS
200037942OtherMEDICARE RR
PA276073OtherBLUE CROSS PRODUCTS
3433566OtherAETNA