Individual
DR. BERT ALTON BRANTLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2402 FOX CREEK LN, DAVIDSONVILLE, MD 21035-1151
(202) 368-9285
Mailing address
2402 FOX CREEK LN, DAVIDSONVILLE, MD 21035-1151
(202) 368-9285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24577
NC
207R00000X
Internal Medicine Physician
Primary
MD-043526-L
PA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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