Bradley Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRADLEY MEDICAL SUPPLY LLC

Practice address

159 Guilbeau Rd
Mansura, LA 71350-4408

Phone

(318) 253-4952

Fax

(318) 253-4952

NPI assigned

Nov 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bradley James Daigrepont

Title

Owner

Phone

(318) 253-4952

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1013198951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 GUILBEAU RD",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504408",
            "telephone_number": "318-253-4952",
            "fax_number": "318-253-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GUILBEAU RD",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504408",
            "telephone_number": "318-253-4952",
            "fax_number": "318-253-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "DAIGREPONT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-253-4952",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn M Bellelo, PT, DPT
• Madeline A Bonnette, MS, CCC-SLP
• Emily R Bordelon, PTA
• Greta Gremillion Bordelon, LOTR
• Meridith L Boudreaux, PTA
• Charolettea Brown
• Hope Sharae Bryant, FNP
• Mary Chenevert, MS, CF-SLP
• Hunter S Christ, PT, DPT
• Christus Health Central Louisiana

• Durable Medical Equipment & Medical Supplies in Mansura, LA
• Providers in Mansura, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.