King, Bradley Mark

King, Bradley Mark is an individual health care provider with primary practice located at 1016 Kirkpatrick Rd , Burlington NC 27215-9714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. King, Bradley Mark can be contacted via phone (336) 228-0254.

Contact Information

Primary practice address
1016 Kirkpatrick Rd Burlington NC 27215-9714
Phone: (336) 228-0254
Fax: (336) 584-0101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 201500553 North Carolina

Profile Details

NPI number 1043504152
LBN Legal business name King, Bradley Mark
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2011
Last updated Jun 16th, 2018 - about 7 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 1043504152 NPPES
North Carolina MEDICAID 1043504152

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