Bradley, Raymond Jordan

Bradley, Raymond Jordan is an individual health care provider with primary practice located at 738 Newman Rd , New Bern NC 28562-5238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bradley, Raymond Jordan can be contacted via phone (252) 634-2676.

Contact Information

Primary practice address
738 Newman Rd New Bern NC 28562-5238
Fax: (252) 633-3502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 200300315 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 200300315 North Carolina

Profile Details

NPI number 1912992744
LBN Legal business name Bradley, Raymond Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Oct 19th, 2012 - about 12 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 1912992744 NPPES
North Carolina MEDICAID 89134MV
North Carolina Other P00446914
North Carolina Other 134MV

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