Individual
BRAD JOSEPH BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1423 E FRANKLIN ST, STE B, MONROE, NC 28112-5266
(704) 290-5020
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-00871
NC
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2011-00871
NC
Other
Enumeration date
07/28/2007
Last updated
07/15/2024
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