Healthcare Provider Details

I. General information

NPI: 1366564247
Provider Name (Legal Business Name): DEBORAH A. BRADLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MEDICAL PARK DR STE B
ASHEVILLE NC
28803-2493
US

IV. Provider business mailing address

PO BOX 1869
FLETCHER NC
28732-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-8232
  • Fax: 828-253-4470
Mailing address:
  • Phone:
  • Fax: 828-650-8076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2009-00924
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number2009-00924
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: