IndividualActive
Bradley Ketner, MD
NPI 1871957746 · Developmental - Behavioral Pediatrics Physician · Greenville, SC
Provider details
- NPI number
- 1871957746
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101262858 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
200 Patewood Dr Bldg a
Greenville, SC 29615-3593
Phone: (864) 454-5115
Approximate (ZIP-level) locationGet directions
Mailing address
200 Patewood Dr Bldg a
Greenville, SC 29615-3593
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2024-08-14
- Certified
- 2024-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.