Individual
DR. RAYMOND JORDAN BRADLEY JR.
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) 633-3502
Mailing address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 633-3502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200300315
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
200300315
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134MV
BCBS
NC
05
—
89134MV
—
NC
01
—
P00446914
RAILROAD MEDICARE
NC
Enumeration date
09/19/2005
Last updated
10/19/2012
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