Individual
DR. BRADLEY HOLMES BENNETT
Active
Individual
DR. BRADLEY HOLMES BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
D0026752
MD
208C00000X
Colon & Rectal Surgery Physician
MD11630
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0026752
LICENSE
MD
01
—
M11630
LICENSE
DC
Enumeration date
08/30/2006
Last updated
10/16/2012
Update your record
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