Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 2013-01999 | NC |
N | 208000000X | Pediatrician | MD440084 | PA |
NPI | 1811191679 |
---|---|
Provider Name | Dr. Bradford Cole Powell |
First Address | Chapel Hill, NC 27599-7264 |
Second Address | Chapel Hill, NC 27599-7264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 17/12/2013 |