Mr. Bradley Carson Perry
Orthotic Fitter
95 Aviemore Dr
Pinehurst
, North Carolina 28374-9797
Mr. Bradley Carson Perry
Orthotic Fitter
95 Aviemore Dr
Pinehurst
, North Carolina 28374-9797
(910) 215-8035
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Bradley Carson Perry
- 95 Aviemore Dr
- Pinehurst, NC
- Zip : 28374-9797
- Fax : (910) 215-8035
- Phone : (910) 295-4489
Second Address
- Mr. Bradley Carson Perry
- 95 Aviemore Dr
- Pinehurst, NC
- Zip : 28374-9797
- Fax : (910) 215-8035
- Phone : (910) 295-4489
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CPED3405 | NC |
National Provider Identifier
| NPI | 1477867117 |
|---|---|
| Provider Name | Mr. Bradley Carson Perry |
| First Address | Pinehurst, NC 28374-9797 |
| Second Address | Pinehurst, NC 28374-9797 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2010 |
| Last Update Date | 05/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7700636 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.