Individual
BRADLEY WITT GUSTAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./M.B.A.
Contact information
Practice address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Mailing address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
85288
SC
207W00000X
Ophthalmology Physician
DR.0053651
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852884
—
SC
Enumeration date
04/24/2009
Last updated
10/07/2025
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