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NPI Code Detail

MEDICARE: JOSEPH BRADLEY WEBSTER MD

MEDICARE: JOSEPH BRADLEY WEBSTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician36635NC

General Provider Information

NPI Number : 1386734978
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH BRADLEY WEBSTER MD
Provider Business Mailing Address
First Line : PO BOX 58609
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84158-0609
Country : US
Telephone Number : 801-213-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1168 E CUTLAR XING
Second Line :
City : LELAND
State : NC
Zip : 28451-6484
Country : US
Telephone Number : 910-332-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 06/18/2025

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