Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Ketner, MD

Individual provider Pediatrics Physician · NPI 1871957746

Bradley Ketner, MD is a Pediatrics Physician in Greenville, South Carolina. Licensed in South Carolina and Virginia. Registered with an NPI since 2016.

Licensed in
SC, VA
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Patewood Dr Bldg A
Greenville, SC 29615-3593
Phone: (864) 454-5115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence LL92742 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 0101262858 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871957746
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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