Provider Demographics
NPI:1376424747
Name:PERKINS, BRADLEY ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:BRADLEY
Middle Name:ARTHUR
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 LA CRESCENTIA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-3303
Mailing Address - Country:US
Mailing Address - Phone:858-291-9946
Mailing Address - Fax:
Practice Address - Street 1:975 ISLAND DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-5168
Practice Address - Country:US
Practice Address - Phone:866-452-7487
Practice Address - Fax:866-246-6567
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0720207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine