Active NPI
Bradley Paul Stoltz, PHARMD., RPH.
- Nuclear Pharmacist
- West Columbia, SC
National Provider Identifier
1770659229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- 16105
- Practice address
- 101 Corporate Blvd
Ste 108
West Columbia, SC 29169-4665 - Phone
- (803) 794-5950
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Pharmacist | 1835N0905X | 16105 | CO | Primary |
Addresses
Primary practice location
101 Corporate Blvd
Ste 108
West Columbia, SC 29169-4665
Mailing address
6 Belfair CT
Irmo, SC 29063-8263
Phone (803) 542-7343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16105 | CO | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1770659229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BELFAIR CT",
"city": "IRMO",
"state": "SC",
"postal_code": "290638263",
"telephone_number": "803-542-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CORPORATE BLVD",
"address_2": "STE 108",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694665",
"telephone_number": "803-794-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLTZ",
"first_name": "BRADLEY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARMD., RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "CO",
"license": "16105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.