| Doctor Name: | MR. BRADFORD CHASE |
| NPI Number: | 1023018207 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 103564 |
| Business Practice Address: | 4590 Premier Dr High Point, NC - 272658193 |
| Business Phone Number: | 3368022050 |
| Business Fax Number: | 3368022051 |
| Mailing Address: | 607 Idol St, HIGH POINT |
| State: | NC |
| Postal Code: | 272627804 |
| Phone Number: | 3368022400 |
| Fax Number: | 3368022001 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 103564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |