Search › North Carolina › 103T00000X
Bradley Summers-Johnson
NPI 1154787687 · on the registry since 2016
Practice
- Address
- 2817 Rock Merritt Ave
Fort Liberty, NC 28310 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- Clinicians at this address
- 132
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina