Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADFORD JOSEPH SCANLAN, D.O.
Active Sole ProprietorDR. BRADFORD JOSEPH SCANLAN, D.O. is a Plastic and Reconstructive Surgery healthcare provider located in FORT LIBERTY, North Carolina. NPI 1144251836 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1144251836
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (20.124824618122 yrs)
- Last Updated
- Apr 24, 2024
- Licenses
-
OS014740 (PA)2016-01507 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 ROCK MERRITT AVENUEFORT LIBERTY, NC, 283100003Browse NC providers · Browse ZIP 28310
- Phone
- 9109076237
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.