Organization Active NPI

Jason C Bradford MD PA

  • Medical Specialty Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1083851745
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JASON C BRADFORD MD PA
Practice address
5920 Saratoga Blvd
Suite 395
Corpus Christi, TX 78414-4103
Phone
(361) 985-2700
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Jason C Bradford, M.D.
Title
President
Phone
(361) 945-0951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5920 Saratoga Blvd
Suite 395
Corpus Christi, TX 78414-4103

Mailing address

PO Box 2199
Alice, TX 78333-2199
Phone (361) 945-0951

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1083851745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2199",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783332199",
            "telephone_number": "361-945-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "SUITE 395",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-985-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON C BRADFORD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-945-0951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.