Gustave, Bradley Witt

Gustave, Bradley Witt is an individual health care provider with primary practice located at 601 Halton Rd , Greenville SC 29607-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gustave, Bradley Witt can be contacted via phone (864) 458-7956.

Contact Information

Primary practice address
601 Halton Rd Greenville SC 29607-3403
Phone: (864) 458-7956
Fax: (864) 458-8390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DR.0053651 Colorado
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 85288 South Carolina

Profile Details

NPI number 1861636581
LBN Legal business name Gustave, Bradley Witt
Credentials M.D./M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2009
Last updated Oct 26th, 2023 - about 2 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 1861636581 NPPES
South Carolina MEDICAID 852884

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