Charles Raymond Bradford, M.D. Valid NPI

Individual provider · Family Medicine Physician · Scottsboro, AL

NPI

1700805082

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

00007481 (AL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-18

Last updated

2007-07-08