BRADFORD BENNETT Jr. MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1609308105- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 815 PENNSYLVANIA AVE, FORT WORTH, TX, 761042224
- Phone
- (817) 321-0404
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: CO #DR.0073875
Radiology, Diagnostic Radiology
License: UT #14213246-1235
Radiology, Diagnostic Radiology
License: FL #ME170736
Radiology, Diagnostic Radiology
License: OR #MD221169
Student in an Organized Health Care Education/Training Program
Radiology, Diagnostic Radiology
License: KS #04-49828
Radiology, Diagnostic Radiology
License: MT #MED-PHYS-LIC-149152
Radiology, Diagnostic Radiology
License: NH #24502
Radiology, Diagnostic Radiology
Primary License: TX #T9639