Individual
BRADLEY SCOTT HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10620 PARK RD, STE 202, CHARLOTTE, NC 28210-8472
(704) 667-0920
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-171384
IL
207Q00000X
Family Medicine Physician
Primary
2022-03322
NC
207Q00000X
Family Medicine Physician
81622
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294949
—
WI
Enumeration date
06/27/2016
Last updated
03/13/2025
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