Individual
BRADLEY TODD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1803 FOREST HILLS RD W, WILSON, NC 27893-3412
(252) 243-9629
(252) 243-0915
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200000314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364X
BCBSNC
NC
01
—
7040139
CIGNA HEALTHCARE
NC
01
—
D4898
MEDCOST
NC
01
—
P00174692
RAILROAD MEDICARE
NC
Enumeration date
09/09/2005
Last updated
02/17/2022
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