Bradberry, Thomas F

Bradberry, Thomas F is an individual health care provider with primary practice located at 2033 Medical Park Dr , Newberry SC 29108-2249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bradberry, Thomas F can be contacted via phone (803) 276-5188.

Contact Information

Primary practice address
2033 Medical Park Dr Newberry SC 29108-2249
Fax: (803) 276-9317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17777 South Carolina

Profile Details

NPI number 1649283748
LBN Legal business name Bradberry, Thomas F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated May 13th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649283748 NPPES
South Carolina MEDICAID 6190

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