Cape Fear Orthopaedic Clinic, Pa in Fayetteville - Sports Medicine
Cape Fear Orthopaedic Clinic, Pa - NPI 1245204494
Cape Fear Orthopaedic Clinic, Pa is a Sports Medicine in Fayetteville, North Carolina. Cape Fear Orthopaedic Clinic, Pa practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Cape Fear Orthopaedic Clinic, Pa is 1245204494. The last update date is 2019-08-06.
Cape Fear Orthopaedic Clinic, Pa's current location address is 4140 Ferncreek Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9104842171 and fax number 9104844568. The mailing address for Cape Fear Orthopaedic Clinic, Pa is 4140 Ferncreek Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cape Fear Orthopaedic Clinic, Pa |
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Address | 4140 Ferncreek Dr, Fayetteville, North Carolina |
Phone Number | 9104842171 |
Fax Number | 9104844568 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Broussard J Bradley |
Credentials | MD |
Telephone Number | 9104842171 |
NPI Number Detail
NPI Number | 1245204494 |
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Provider Enumeration Date | 2006-02-15 |
Last Updated Date | 2019-08-06 |
Provider Mailing Address Detail
Address | 4140 Ferncreek Dr |
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City | Fayetteville |
State | North Carolina (NC) |
Post Code | 283142572 |
Phone Number | 9104842171 |
Fax Number | 9104844568 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Xx0005X |
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1185 | NC | BCBS GROUP ID NUMBER | |
7901185 | NC | -- |
Post Comment/ Review Below
What is the area of specialization for Cape Fear Orthopaedic Clinic, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Cape Fear Orthopaedic Clinic, Pa is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
When was the Cape Fear Orthopaedic Clinic, Pa's 1245204494 issued?
The Cape Fear Orthopaedic Clinic, Pa's 1245204494 was issued on 2006-02-15.
On what date did the Centers for Medicare & Medicaid Services issue the 1245204494 to Cape Fear Orthopaedic Clinic, Pa?
The Cape Fear Orthopaedic Clinic, Pa received its 1245204494 assignment from the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the Cape Fear Orthopaedic Clinic, Pa's information last updated?
The Cape Fear Orthopaedic Clinic, Pa's information was last updated on 2019-08-06.
When was the information pertaining to Cape Fear Orthopaedic Clinic, Pa most recently updated or revised?
The details related to Cape Fear Orthopaedic Clinic, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-06.