Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADFORD BENNETT JR., MD
Active Sole ProprietorBRADFORD BENNETT JR., MD is a Diagnostic Radiology healthcare provider located in FORT WORTH, Texas. NPI 1609308105 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · FORT WORTH, TX
Registration Details
- NPI Number
- 1609308105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2017 (9.3647850896142 yrs)
- Last Updated
- Feb 26, 2026
- Licenses
-
MD221169 (OR)ME170736 (FL)04-49828 (KS)DR.0073875 (CO)T9639 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
815 PENNSYLVANIA AVEFORT WORTH, TX, 761042224Browse TX providers · Browse ZIP 76104
- Phone
- 8173210404
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID A FENYES | M.D.,PH.D. | 1184627994 |
| MITCHELL YOUNT | MD | 1790788115 |
| EVERETT L. GAYLE | M.D. | 1518963313 |
| CHARLES B. GOVER-MENDEZ | M.D. | 1295733822 |
| MARK A. KOZLOWSKI | M.D. | 1134127723 |
| DR. TED L CARELOCK | M.D. | 1972502367 |
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.