Individual
DR. BRADLEY W WORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4540 TRENHOLM RD, COLUMBIA, SC 29206-4462
(803) 790-4700
(803) 790-6130
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18057
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T18736
—
SC
Enumeration date
03/21/2006
Last updated
11/11/2020
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