William S Bradford MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

29079 Issued in NC

Legal business name

WILLIAM S BRADFORD MD PA

Practice address

617 S Main St
Reidsville, NC 27320-5019

Phone

(336) 349-4024

Fax

(336) 349-6904

NPI assigned

Mar 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William S Bradford, MD

Title

Owner

Phone

(336) 349-4024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• William S Bradford MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1801067756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230150",
            "telephone_number": "336-349-4024",
            "fax_number": "336-349-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205019",
            "telephone_number": "336-349-4024",
            "fax_number": "336-349-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S BRADFORD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-349-4024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "29079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7917408",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William S Bradford MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Broome Wheeler, FNP-BC
• Robert Lewis Wheless, DDS
• Jennifer Robyn Whitehead, LMFTA
• Tiffany S. Wicker, CFM
• Cassandra Widener, PHARM D
• Anika Keyshawn Williams-Johnson, ST.
• Marjenia Latonya Williams, PMHNP-BC
• Ronald Lee Wilson Jr.
• Windham Hall, Inc
• Tiffany Antoinette Wise, NP

• Surgery Physician in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.