NPI 1679568349 · live from the CMS NPI Registry
Darin Walter Stanley Bradley, PA-C
Physician Assistant, Medical in New Bern, NC. National Provider Identifier 1679568349, active.
NPI record
| NPI | 1679568349 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 2002 S Glenburnie Rd Ste 100, New Bern, NC 28562 |
| Practice phone | 252-631-5188 |
| Mailing address | 906 Davit Ln, New Bern, NC 28560 |
| Enumerated | September 19, 2005 |
| Last updated | March 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 055-0030633 (VT) |
| Physician Assistant, Medical primary | 363AM0700X | 0010-11814 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.