National Provider Identifier
Bradford Perham Mersereau
Bradford Perham Mersereau is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 862-3641.
Profile Overview
- NPI
- 1447231741
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- November 14, 2005
- Last Updated
- December 16, 2014
Practice Location
- 3495 Bailey Ave
- Primary Care Group 2
- Buffalo, NY 14215-1129
Phone: (716) 862-3641
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1447231741
- Entity Type
- Individual
- Last Name
- Mersereau
- First Name
- Bradford
- Middle Name
- Perham
- Mailing Street Address
- 3495 Bailey Ave
- Mailing Address Line 2
- Primary Care Group 2
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Mailing Phone
- (716) 862-3641
- Practice Street Address
- 3495 Bailey Ave
- Practice Address Line 2
- Primary Care Group 2
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-3641
- Enumeration Date
- November 14, 2005
- Last Updated
- December 16, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)