Vandyke, Bradley Stuart

Vandyke, Bradley Stuart is an individual health care provider with primary practice located at 3010 Trenwest Dr , Winston Salem NC 27103-3208. 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 / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Vandyke, Bradley Stuart can be contacted via phone (336) 718-5844.

Contact Information

Primary practice address
3010 Trenwest Dr Winston Salem NC 27103-3208
Phone: (336) 718-5844
Fax: (336) 970-5298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 141515 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200900402 North Carolina

Profile Details

NPI number 1235315052
LBN Legal business name Vandyke, Bradley Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2008
Last updated Sep 6th, 2015 - about 10 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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