Panton, Bradley S
Panton, Bradley S is an sole proprietor health care provider with primary practice located at 1811 S 25Th St , Fort Pierce FL 34947-4756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Panton, Bradley S can be contacted via phone (772) 467-1960.Contact Information
Primary practice address
1811 S 25Th St
Fort Pierce FL 34947-4756
Phone: (772) 467-1960
Fax: (772) 467-1097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | ME0062002 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME0062002 | Florida |
Profile Details
NPI number | 1831123082 |
---|---|
LBN Legal business name | Panton, Bradley S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2006 |
Last updated | Feb 12th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831123082 | NPPES |
Florida | Other | 14997 | BXBS FL |
Florida | MEDICAID | 37713340001 | BXBS FL |
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