Individual
STEVEN H BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117
(704) 662-0877
(704) 662-0875
Mailing address
146 MEDICAL PARK RD STE 108, MOORESVILLE, NC 28117-8529
(704) 662-0877
(704) 662-0875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39551
NC
207L00000X
Anesthesiology Physician
Primary
39551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17505
BCBS
NC
05
—
8917505
—
NC
Enumeration date
08/30/2006
Last updated
03/07/2023
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