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Contact Information

BRADLEY S ELLISON, MD
354 COPPERFIELD BLVD NE
CONCORD, NC28025-2402
 Phone: 704-323-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRADLEY S ELLISON · (Male)

NPI # 1205037116
Status Active
Credentials MD
Entity Individual
Enumeration date 05/29/2007
Last updated 08/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 2015-01521
  • VA License # 0101247812
  • NC Medicaid 1205037116
  • SC Medicaid Q0152N
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER-NORTHEAST - (Acute Care)
    920 CHURCH ST N
    CONCORD, NC 28025
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
  • STANLY REGIONAL MEDICAL CENTER - (Acute Care)
    301 YADKIN ST
    ALBEMARLE, NC 28001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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