Basic Information
| Provider Information | |||||||||
| NPI: | 1831281021 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RESS | ||||||||
| FirstName: | BRADFORD | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7900 GLADES ROAD | ||||||||
| Address2: | SUITE 340 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613537377 | ||||||||
| FaxNumber: | 7862372234 | ||||||||
| Practice Location | |||||||||
| Address1: | 7900 GLADES ROAD | ||||||||
| Address2: | SUITE 340 | ||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613537377 | ||||||||
| FaxNumber: | 7862372234 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2006 | ||||||||
| LastUpdateDate: | 12/12/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/12/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207YX0901X | ME0067787 | FL | Y | Allopathic & Osteopathic Physicians | Otolaryngology | Otology & Neurotology |
No ID Information.