Bradshaw, Jody
Bradshaw, Jody is an individual health care provider with primary practice located at 7001 Rogers Ave , Fort Smith AR 72903-4073. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bradshaw, Jody can be contacted via phone (479) 274-5200.Contact Information
Primary practice address
7001 Rogers Ave
Fort Smith AR 72903-4073
Phone: (479) 274-5200
Fax: (479) 274-5299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Arkansas | |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E-7502 | Arkansas |
Profile Details
| NPI number | 1972722205 |
|---|---|
| LBN Legal business name | Bradshaw, Jody |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Aug 28th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972722205 | NPPES |
| Arkansas | MEDICAID | 192889001 |
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