Individual
DR. BRADLEY T. MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2839
(704) 355-2272
(704) 355-1865
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
18998
SC
2085R0001X
Radiation Oncology Physician
Primary
38540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2086570
UNITED HEALTHCARE
NC
01
—
26031
PARTNERS
NC
01
—
55628
BLUE CROSS
NC
01
—
65238
MEDCOST
NC
01
—
7380869008
CIGNA
NC
05
—
8955628
—
NC
Enumeration date
03/20/2006
Last updated
12/19/2012
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