Panton, Bradley S

Panton, Bradley S is an sole proprietor health care provider with primary practice located at 1811 S 25Th St , Fort Pierce FL 34947-4756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Panton, Bradley S can be contacted via phone (772) 467-1960.

Contact Information

Primary practice address
1811 S 25Th St Fort Pierce FL 34947-4756
Phone: (772) 467-1960
Fax: (772) 467-1097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X ME0062002 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME0062002 Florida

Profile Details

NPI number 1831123082
LBN Legal business name Panton, Bradley S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 12th, 2024 - about 2 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 1831123082 NPPES
Florida Other 14997 BXBS FL
Florida MEDICAID 37713340001 BXBS FL

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