Boop, Bradley Scott

Boop, Bradley Scott is an individual health care provider with primary practice located at 10001 Lile Dr , Little Rock AR 72205-6217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Boop, Bradley Scott can be contacted via phone (501) 227-8000.

Contact Information

Primary practice address
10001 Lile Dr Little Rock AR 72205-6217
Phone: (501) 227-8000
Fax: (501) 221-0295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C7662 Arkansas

Profile Details

NPI number 1033145792
LBN Legal business name Boop, Bradley Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033145792 NPPES
Arkansas Other 682288 MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
Arkansas MEDICAID 127655001 MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC

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