Individual ProviderDouglas BradfordPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520(701) 530-8180PECOS EnrollmentBased on the most recent information from CMS, provider Douglas Bradford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1205232519Provider TypeIndividualFull NameBradford, DouglasGenderMaleSole ProprietorNoEnumeration Date11/13/2014Last Updated11/13/2014Contact InformationPractice LocationPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520Phone(701) 530-8180FaxUnlisted FaxMailing LocationMailing Address900 E Broadway Ave, Bismarck, ND 58501-4520PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense457North Dakota