Robert Littleton Bradley, EDD, ATC
Individual provider Active NPI Athletic Trainer · Simpsonville, SC
NPI 1053676205 · NPPES record last updated Jul 12, 2012
Key facts
- NPI
- 1053676205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 23 Border Ave
Simpsonville, SC 29680-7387 - Phone
- (864) 320-7133
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
23 Border Ave
Simpsonville, SC 29680-7387
Mailing address
23 Border Ave
Simpsonville, SC 29680-7387
Phone (864) 320-7133
Other providers in Simpsonville, SC
- Eathel L. Bowen
- Gertrude Norton Boxall
- Monique Leekam Boyd
- Jodi Boylen
- Chad Sloan Bracey
- Charles Wade Brainard
- Branch of Hope Counseling, LLC
- Shane Branham
- Branscum Vision
- Chelsea Jade Branscum
All providers in Simpsonville, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.