Active NPI
Bradford William Bolton, PHARM.D
- Nuclear Pharmacist
- Atlanta, GA
National Provider Identifier
1962793307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- RPH024205
- Practice address
- 1575 Northside Dr NW
Suite 305
Atlanta, GA 30318-4235 - Phone
- (404) 355-3928
- NPI assigned
- Apr 20, 2011
- Sex
- Male
- Sole proprietor
- No
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 | RPH024205 | GA | Primary |
Addresses
Primary practice location
1575 Northside Dr NW
Suite 305
Atlanta, GA 30318-4235
Mailing address
1575 Northside Dr NW
Suite 305
Atlanta, GA 30318-4235
Phone (404) 355-3928
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024205 | GA | MD | Nuclear Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1962793307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 NORTHSIDE DR NW",
"address_2": "SUITE 305",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184235",
"telephone_number": "404-355-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 NORTHSIDE DR NW",
"address_2": "SUITE 305",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184235",
"telephone_number": "404-355-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "BRADFORD",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "GA",
"license": "RPH024205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.