Priester, William Bradford
Priester, William Bradford is an individual health care provider with primary practice located at 609 Skyline Dr , Jackson TN 38301-3911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Priester, William Bradford can be contacted via phone (731) 427-7799.Contact Information
Primary practice address
609 Skyline Dr
Jackson TN 38301-3911
Phone: (731) 427-7799
Fax: (731) 427-1476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24018 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 18941 | Alabama |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 34611 | Kentucky |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17086 | Mississippi |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E2952 | Arkansas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 18941 | Alabama |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 34611 | Kentucky |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 17086 | Mississippi |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | E2952 | Arkansas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 24018 | Tennessee |
Profile Details
| NPI number | 1093710857 |
|---|---|
| LBN Legal business name | Priester, William Bradford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Apr 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093710857 | NPPES |
| Mississippi | MEDICAID | 00126034 | |
| Mississippi | Other | 000000261767 | |
| Mississippi | MEDICAID | 3812361 | |
| Mississippi | Other | 3104352 | |
| Mississippi | Other | 180033851 | |
| Mississippi | MEDICAID | 64721467 |
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