IndividualActive
Michelle Bradley, DO
NPI 1003015314 · Family Medicine Physician · Fargo, ND
Provider details
- NPI number
- 1003015314
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 52168 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4110 51st Ave S
Fargo, ND 58104-7776
Phone: (701) 364-3100
Approximate (ZIP-level) locationGet directions
Mailing address
1702 South University Drive
Fargo, ND 58103-4940
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.