Individual
SEAN MICHAEL BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 S PROVIDENCE RD, WAXHAW, NC 28173-6313
(704) 863-4878
Mailing address
2700 S PROVIDENCE RD, WAXHAW, NC 28173-6313
(704) 863-4878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10077814-1205
UT
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
2025-01640
NC
207RS0010X
Sports Medicine (Internal Medicine) Physician
323284
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
07/03/2025
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