Sams, Bradley Carnell

Sams, Bradley Carnell is an sole proprietor health care provider with primary practice located at 1001 N. Halstead Rd. , Ocean Springs MS 39564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sams, Bradley Carnell can be contacted via phone (228) 818-0416.

Contact Information

Primary practice address
1001 N. Halstead Rd. Ocean Springs MS 39564
Phone: (228) 818-0416
Fax: (228) 818-4932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16666 Mississippi

Profile Details

NPI number 1386689404
LBN Legal business name Sams, Bradley Carnell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jun 12th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386689404 NPPES
Mississippi MEDICAID 00121469

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