Bradley Bomba

Nurse Practitioner · Victoria, TX

Individual Active NPI

NPI number 1356957591

Practice location

2701 Hospital Dr
Victoria, TX 77901-5748
Phone
(361) 573-9181

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NPI record

NPI
1356957591
Entity type
Individual (Type 1)
Enumeration date
September 22, 2020
Last updated
February 4, 2023
Certified
April 2, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 1031296 TX

Mailing address

2701 Hospital Dr Ste 114
Victoria, TX 77901-5748
Phone
(361) 582-7999

About Bradley Bomba

Bradley Bomba is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2701 Hospital Dr, Victoria, TX 77901-5748. The NPI number 1356957591 was assigned on September 22, 2020 and the record was last updated on February 4, 2023.

Bradley Bomba lists a license in the registry: #1031296 (TX) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley Bomba?

The NPI number is 1356957591.

What is the phone number of Bradley Bomba?

The phone number listed for the practice location is (361) 573-9181.

Where is Bradley Bomba located?

2701 Hospital Dr, Victoria, TX 77901-5748.

What is the taxonomy code for Bradley Bomba?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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