Tyler, Bradford Alan

Tyler, Bradford Alan is an individual health care provider with primary practice located at 1202 Medical Center Dr , Wilmington NC 28401-7307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tyler, Bradford Alan can be contacted via phone (910) 341-3300.

Contact Information

Primary practice address
1202 Medical Center Dr Wilmington NC 28401-7307
Phone: (910) 341-3300
Fax: (910) 815-2882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22507 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 9701885 North Carolina

Profile Details

NPI number 1932172418
LBN Legal business name Tyler, Bradford Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 3rd, 2014 - about 12 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 1932172418 NPPES
South Carolina MEDICAID T67488
South Carolina MEDICAID GP4697

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