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Contact Information

BRADLY J BUXTON DC PA
2912 BATTLEGROUND AVE
GREENSBORO, NC27408-2706
 Phone: 336-282-2525
 Fax: 336-282-7554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRADLY J BUXTON DC PA

NPI Number 1205978640
LBN Legal business name BRADLY J BUXTON DC PA
Authorized official BRADLY BUXTON - (OWNER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 03/11/2008 - About 18 years ago
Identifiers
NC License # 1251
NC Medicaid 8908288
Other 1369 PARTNERS
Other 330073 UNITED HEALTHCARE
NC Other 08288 BCBS
NC Other 244335 MEDICARE TYPE B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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