Individual
DR. BRADLEY DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
304 HILLSBORO ST STE D, OXFORD, NC 27565-3274
(919) 693-3577
(919) 693-3582
Mailing address
304 HILLSBORO ST STE D, OXFORD, NC 27565-3274
(919) 693-3577
(919) 693-3582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085HJ
BLUE CROSS/BLUE SHIELD
NC
05
—
89085HJ
—
NC
01
—
P00160884
RAILROAD MEDICARE PROGRAM
NC
Enumeration date
08/25/2006
Last updated
07/08/2007
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