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Individual

WILLIAM ALEX BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 EXECUTIVE PARK BLVD, SUITE 120, WINSTON-SALEM, NC 27103
(336) 659-7990
(336) 659-0028
Mailing address
250 EXECUTIVE PARK BLVD, SUITE 120, WINSTON-SALEM, NC 27103
(336) 659-7990
(336) 659-0028

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16831
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17743
BCBSNC
NC
05
8917743
NC
01
P00039039
RAILROAD MEDICARE
Enumeration date
08/17/2006
Last updated
07/08/2007
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