Individual
BRADLEY DAVIS TEMPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
702 13TH ST, NORTH WILKESBORO, NC 28659-4075
(336) 667-5296
(336) 667-0864
Mailing address
PO BOX 1348, NORTH WILKESBORO, NC 28659-1348
(336) 667-5296
(336) 667-0864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24818
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407426
UNITED HEALTHCARE
—
01
—
1263287
UNITED MINE WORKERS
—
01
—
3429
PARTNERS
—
01
—
3444456
CIGNA
—
01
—
82392
BCBSNC
NC
05
—
8982392
—
NC
01
—
P00188116
RAILROAD MEDICARE
—
Enumeration date
10/26/2006
Last updated
09/03/2013
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