Doctor Name: | DR. ROBERT FOSTER BRADLEY |
NPI Number: | 1194846568 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 200300124 |
Business Practice Address: | 1 Science Ct Suite 200 Columbia, SC - 292039344 |
Business Phone Number: | 8032521913 |
Business Fax Number: | 8032522330 |
Mailing Address: | 5700 Southwyck Blvd, TOLEDO |
State: | OH |
Postal Code: | 436141509 |
Phone Number: | 8002888325 |
Fax Number: | 4198665453 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 200300124 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |