Reeder, Bradley Dale

Reeder, Bradley Dale is an individual health care provider with primary practice located at 890 W Faris Rd Ste 580 , Greenville SC 29605-4281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Reeder, Bradley Dale can be contacted via phone (864) 455-7874.

Contact Information

Primary practice address
890 W Faris Rd Ste 580 Greenville SC 29605-4281
Phone: (864) 455-7874
Fax: (864) 455-8933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 18226 South Carolina

Profile Details

NPI number 1780927186
LBN Legal business name Reeder, Bradley Dale
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Nov 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780927186 NPPES
South Carolina MEDICAID NP2374

Popular Providers