EARL B BRADLEY
Debarred entityBorn 10 May 1953 (73 years old),United States. Named in 5 sanctions listings.
Summary
UPIN: E96011
License number: C10004285
Sanctions and listings5
- Effective
- 18 Oct 2012
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a2
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 24 Oct 2012
- Effective
- 18 Oct 2012
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Listed
- 2 Jan 2013
- Effective
- 26 Nov 2012
- Effective
- 20 Oct 2012
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 18 Oct 2012
Official designation
OIGUS Delaware Medicaid Sanctioned ProvidersUnited States
Terminated 1/4/2012
Positions held2
Period not retained
PEDIATRICS (MEDICAL PRACTICE, MD)
Period not retained
MD
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1669414553 |
Other names2
Also known as2
Addresses3
1181 PADDOCK ROAD, SMYRNA, DE 19977
1181 PADDOCK RD, SMYRNA, DE 19977
SMYRNA, DE 19977
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