JACK BRADLEY HAMILTON NPI 1154936003

NPI Information

  • NPI: 1154936003
  • Provider Name: JACK BRADLEY HAMILTON
  • Classification: Orthotic Fitter - 225000000X
  • Entity Type: Individual
  • Address: 408 NORTHEAST BLVD
    CLINTON, NC
    ZIP 28328
  • Phone: (910) 592-2343

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NPI Details

Jack Bradley Hamilton is an orthotic fitter in Clinton, NC. The provider is an individual trained in the management of fitting prefabricated orthoses. Jack Bradley Hamilton NPI is 1154936003. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

408 NORTHEAST BLVD
CLINTON, NC
ZIP 28328-434
Phone: (910) 592-2343

The enumeration date for this NPI number is 9/8/2020 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225000000XOrthotic FitterCFT2031NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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