Clayton, Bradley Allen

Clayton, Bradley Allen is an sole proprietor health care provider with primary practice located at 2435 Forest Dr , Columbia SC 29204-2026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Clayton, Bradley Allen can be contacted via phone (803) 732-9329.

Contact Information

Primary practice address
2435 Forest Dr Columbia SC 29204-2026
Phone: (803) 732-9329
Fax: (803) 732-9094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 19523 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19523 South Carolina

Profile Details

NPI number 1659419869
LBN Legal business name Clayton, Bradley Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Nov 21st, 2022 - about 4 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 1659419869 NPPES
South Carolina MEDICAID 195238

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