Individual
MR. BRADY BELLARD
Active
Individual
MR. BRADY BELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2279P1006V
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24875187
NC DL
NC
Enumeration date
01/28/2016
Last updated
01/28/2016
Update your record
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