Brenton, Bradley C

Brenton, Bradley C is an individual health care provider with primary practice located at 2700 Medical Office Pl , Goldsboro NC 27534-9460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Brenton, Bradley C can be contacted via phone (919) 734-1866.

Contact Information

Primary practice address
2700 Medical Office Pl Goldsboro NC 27534-9460
Phone: (919) 734-1866
Fax: (919) 736-1804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 24637 North Carolina

Profile Details

NPI number 1083676738
LBN Legal business name Brenton, Bradley C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Nov 29th, 2011 - 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 1083676738 NPPES
North Carolina Other 02898 WORK COMP
North Carolina Other 14876 WORK COMP
North Carolina MEDICAID 8914876 WORK COMP
North Carolina Other 14876 WORK COMP

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