Individual provider · NPI-1

Joshua Bradford, DO

Family Medicine · South Charleston, WV

NPI number1689899510
StatusActive
Last updated in NPPESNov 16, 2012

Details

NPI
1689899510
Entity type
Individual (NPI-1)
Name
Joshua Bradford
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 16, 2007
Last updated
Nov 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2241WVYes

Practice location

707 Chestnut St
South Charleston, WV 25309-2003

Phone 304-768-8500 · Fax 304-768-8530

Mailing address

707 Chestnut St
South Charleston, WV 25309-2003

Phone 304-768-8500 · Fax 304-768-8530

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in South Charleston, WV