Smith, Bradford J

Smith, Bradford J is an individual health care provider with primary practice located at 6516 E Myrtle Ave , Baker LA 70714-4348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smith, Bradford J can be contacted via phone (225) 774-7320.

Contact Information

Primary practice address
6516 E Myrtle Ave Baker LA 70714-4348
Phone: (225) 774-7320
Fax: (225) 774-5432
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13053R Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13053R Louisiana

Profile Details

NPI number 1144271602
LBN Legal business name Smith, Bradford J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 13th, 2021 - about 3 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 1144271602 NPPES
Louisiana MEDICAID 15555843

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