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Individual

DR. RAYMOND JORDAN BRADLEY JR.

Active
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Individual

DR. RAYMOND JORDAN BRADLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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