Individual
DR. DAVID L BRADHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
407-K EAST JACKSON BLVD, ERWIN, NC 28339-9628
(910) 892-1119
(910) 892-1614
Mailing address
PO BOX 506, ERWIN, NC 28339-0506
(910) 892-1119
(910) 892-1614
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0830T
BLUE CROSS BLUE SHIELD
NC
05
—
8902671
—
NC
Enumeration date
08/10/2005
Last updated
07/08/2007
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