Individual provider · Type 1 NPI

Bradford Bennett Jr., MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1609308105 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0404 Map

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146

Other practice locations

  • 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 · (816) 800-9020
  • 1501 E 3rd St, Delta, CO 81416-2815 · (970) 874-2470
  • 1460 G St, Springfield, OR 97477-4112 · (816) 800-9020

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XDR.0073875 (CO)
Diagnostic Radiology Physician 2085R0202X14213246-1235 (UT)
Diagnostic Radiology Physician 2085R0202XME170736 (FL)
Diagnostic Radiology Physician 2085R0202XMD221169 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician 2085R0202X04-49828 (KS)
Diagnostic Radiology Physician 2085R0202XMED-PHYS-LIC-149152 (MT)
Diagnostic Radiology Physician 2085R0202X24502 (NH)
Diagnostic Radiology Physician Primary 2085R0202XT9639 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1609308105

Bradford Bennett Jr., MD's National Provider Identifier is 1609308105, issued on Apr 3, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Worth, TX. The record was last updated on May 12, 2026.