| Doctor Name: | DR. BRADLEY C BRENTON |
| NPI Number: | 1083676738 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 24637 |
| Business Practice Address: | 2700 Medical Office Pl Goldsboro, NC - 275349460 |
| Business Phone Number: | 9197341866 |
| Business Fax Number: | 9197361804 |
| Mailing Address: | Po Drawer 1757, GOLDSBORO |
| State: | NC |
| Postal Code: | 27533 |
| Phone Number: | 9197341866 |
| Fax Number: | 9197361804 |
| NPI Enumeration Date: | 04/06/2006 |
| NPI Last Update Date: | 11/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 24637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |