Bradford, De'Shauris Nelson

Bradford, De'Shauris Nelson is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bradford, De'Shauris Nelson can be contacted via phone (631) 686-2549.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 686-2549
Fax: (631) 686-7651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 310770 Louisiana

Profile Details

NPI number 1942688841
LBN Legal business name Bradford, De'Shauris Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2015
Last updated Apr 20th, 2021 - about 3 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.

Request for update

Popular Providers