Clark, Bradley Walton

Clark, Bradley Walton is an individual health care provider with primary practice located at 7114 Village Medical Cir , Clemmons NC 27012-8004. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Nuclear Cardiology is his primary health care specialty. Clark, Bradley Walton can be contacted via phone (336) 893-2440.

Contact Information

Primary practice address
7114 Village Medical Cir Clemmons NC 27012-8004
Phone: (336) 893-2440
Fax: (336) 893-2470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015-00428 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LL34733 South Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2015-00428 North Carolina
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 2015-00428 North Carolina

Profile Details

NPI number 1639431307
LBN Legal business name Clark, Bradley Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Feb 18th, 2021 - about 4 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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