Bennett, Bradley Holmes

Bennett, Bradley Holmes is an individual health care provider with primary practice located at 4701 Randolph Rd Suite 203, Rockville MD 20852-2257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Bennett, Bradley Holmes can be contacted via phone (301) 681-6437.

Contact Information

Primary practice address
4701 Randolph Rd Suite 203 Rockville MD 20852-2257
Phone: (301) 681-6437
Fax: (301) 681-0975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X D0026752 Maryland
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD11630 District of Columbia

Profile Details

NPI number 1609985613
LBN Legal business name Bennett, Bradley Holmes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609985613 NPPES
District of Columbia Other M11630 LICENSE
District of Columbia Other D0026752 LICENSE

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