Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen Peter Bradley, MD

Individual provider Surgery Physician · NPI 1699746446

Stephen Peter Bradley, MD is a Family Practice in Lakeport, California. Qualified in 1977, 49 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5375 Lakeshore Blvd
Lakeport, CA 95453-6123
Phone: (707) 263-5679
Fax: (707) 263-7781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence C41489 (CA)
Surgery Physician Taxonomy 208600000X · Licence C41489 (CA)
General Practice Physician Taxonomy 208D00000X · Licence C41489 (CA)

Record details

NPI number1699746446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address5375 Lakeshore Blvd, Lakeport, CA 95453-6123

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeport