Perry, Glenn Bradford

Perry, Glenn Bradford is an individual health care provider with primary practice located at 2826 Randolph Rd , Charlotte NC 28211-1019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Perry, Glenn Bradford can be contacted via phone (704) 358-0308.

Contact Information

Primary practice address
2826 Randolph Rd Charlotte NC 28211-1019
Phone: (704) 358-0308
Fax: (704) 358-0039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 26968 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 26968 North Carolina

Profile Details

NPI number 1588660716
LBN Legal business name Perry, Glenn Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 12th, 2015 - about 9 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 1588660716 NPPES
North Carolina MEDICAID 8966884

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