Icard, Bradley Len

Icard, Bradley Len is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Icard, Bradley Len can be contacted via phone (336) 547-1801.

Contact Information

Primary practice address
520 N Elam Ave Greensboro NC 27403-1127
Phone: (336) 547-1801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 2019-00429 North Carolina

Profile Details

NPI number 1720320898
LBN Legal business name Icard, Bradley Len
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Jul 1st, 2019 - about 5 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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