| Doctor Name: | DR. BRADLEY ANTHONY BASCH |
| NPI Number: | 1235519281 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | P15607 |
| Business Practice Address: | 600 Julian Ln Ste 660 Arden, NC - 287047815 |
| Business Phone Number: | 8286843611 |
| Business Fax Number: | 8286843612 |
| Mailing Address: | 600 Julian Ln Ste 660, ARDEN |
| State: | NC |
| Postal Code: | 287047815 |
| Phone Number: | 8286843611 |
| Fax Number: | 8286843612 |
| NPI Enumeration Date: | 06/04/2015 |
| NPI Last Update Date: | 06/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | P15607 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |