Petkovich, Bradley William

Petkovich, Bradley William is an individual health care provider with primary practice located at 171 Ashley Avenue , Charleston SC 29425-0001. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Petkovich, Bradley William can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Avenue Charleston SC 29425-0001
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Arkansas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 39692 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 39692 South Carolina

Profile Details

NPI number 1033485156
LBN Legal business name Petkovich, Bradley William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Mar 2nd, 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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