Bradley, Macon Samuel

Bradley, Macon Samuel is an individual health care provider with primary practice located at 153 Dowell Rd , Russell Springs KY 42642-4579. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bradley, Macon Samuel can be contacted via phone (270) 866-4141.

Contact Information

Primary practice address
153 Dowell Rd Russell Springs KY 42642-4579
Phone: (270) 866-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03294 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 03294 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 03294 Kentucky

Profile Details

NPI number 1851521744
LBN Legal business name Bradley, Macon Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2009
Last updated Aug 31st, 2017 - about 8 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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