Jeremy Bradley Md Psc

LBN: Jeremy Bradley Md Psc
Jeremy Bradley Md Psc is an health care organization with primary practice located at 3122 Commonwealth Ct , Owensboro KY 42303-2258. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jeremy Bradley Md Psc can be contacted via phone (270) 684-7362, or through Bradley, Jeremy via phone (270) 684-7362.

Contact Information

Primary practice address
3122 Commonwealth Ct Owensboro KY 42303-2258
Phone: (270) 684-7362
Fax: (270) 684-7753
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Jeremy Doctor of Medicine (MD)
Phone: (270) 684-7362

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31984 Kentucky

Profile Details

NPI number 1215208608
LBN Legal business name Jeremy Bradley Md Psc
DBA Doing business as
Authorized official Bradley, Jeremy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215208608 NPPES
Kentucky MEDICAID 64319841

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