Provider Demographics
NPI:1528322047
Name:MATTHEWS, WILLIAM BRADFORD (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BRADFORD
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8300 HEALTH PARK
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-4730
Mailing Address - Country:US
Mailing Address - Phone:919-307-9909
Mailing Address - Fax:919-676-9946
Practice Address - Street 1:8300 HEALTH PARK
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-4730
Practice Address - Country:US
Practice Address - Phone:919-307-9909
Practice Address - Fax:919-676-9946
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2015-020682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry