BRADLEY DALTON
NPI 1124409875
Student in an Organized Health Care Education/Training Program in Spartanburg, SC
About Bradley Dalton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY DALTON (NPI 1124409875) is an individual student in an organized health care education/training program in Spartanburg, South Carolina and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley Dalton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Dalton's NPI number?
The NPI number for Bradley Dalton is 1124409875. It was assigned to this individual provider in the NPPES registry on June 17, 2015.
Where is Bradley Dalton located?
Bradley Dalton practices at 853 N Church St Suite 510, Spartanburg, SC 29303. The listed phone number is (864) 560-6193.
What is Bradley Dalton's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Bradley Dalton enrolled in Medicare?
Yes. Bradley Dalton is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bradley Dalton was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bradley Dalton · NPI 1124409875
Student in an Organized Health Care Education/Training Program provider in Spartanburg, South Carolina. Individual provider, active in the CMS NPPES registry since June 17, 2015.
## Identity
- **NPI:** 1124409875 (Entity type: Individual)
- **Enumerated:** June 17, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 853 N CHURCH ST, SUITE 510, Spartanburg, SC 29303-3098
- **Phone:** (864) 560-6193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1124409875) · Data from the CMS NPPES public registry.