Keefer, Bradley James

Keefer, Bradley James is an individual health care provider with primary practice located at 3700 Sawtell Rd , Little River SC 29566-7873. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Keefer, Bradley James can be contacted via phone (843) 390-1333.

Contact Information

Primary practice address
3700 Sawtell Rd Little River SC 29566-7873
Phone: (843) 390-1333
Fax: (843) 390-1633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 546 South Carolina

Profile Details

NPI number 1184672974
LBN Legal business name Keefer, Bradley James
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 24th, 2010 - about 14 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 1184672974 NPPES
North Carolina MEDICAID 780806U
North Carolina MEDICAID PD5462

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