Robottom, Bradley J

Robottom, Bradley J is an individual health care provider with primary practice located at 4111 Ben Franklin Blvd , Durham NC 27704-2141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Robottom, Bradley J can be contacted via phone (919) 719-8834.

Contact Information

Primary practice address
4111 Ben Franklin Blvd Durham NC 27704-2141
Phone: (919) 719-8834
Fax: (919) 582-0528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D68380 Maryland

Profile Details

NPI number 1558486688
LBN Legal business name Robottom, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 3rd, 2011 - about 15 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 1558486688 NPPES
North Carolina Other 2011-00566 NC LICENSE
North Carolina Other D68380 NC LICENSE

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