Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENTON BRADFORD
ActivePharmacist Clinician (PhC) · BRAZIL, IN
Registration Details
- NPI Number
- 1366225641
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2023 (2.6935013429622 yrs)
- Last Updated
- Aug 18, 2023
- License
-
26030451A (IN)
Practice Information
- Address
-
100 FOREST PARK PLZBRAZIL, IN, 478342737Browse IN providers · Browse ZIP 47834
- Phone
- 8124426700
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
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.