Individual
WILLIAM BRADFORD WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 637-4479
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 634-2676
(252) 637-4479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9400171
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
9400171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12045
BCBSNC
NC
05
—
8912045
—
NC
01
—
P00446926
RAILROAD MEDICARE
NC
Enumeration date
07/08/2005
Last updated
01/04/2023
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