Scott T Bradley, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

128223 Issued in MS

Practice address

425 Hospital Dr
Ste 8
Columbus, MS 39705-1938

Phone

(662) 328-2061

Fax

(662) 328-5000

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: clinical@columbuseye.directbygreenway.com

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1326041591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FAIRWAY DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051501",
            "telephone_number": "662-243-1486",
            "fax_number": "662-328-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "STE 8",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051938",
            "telephone_number": "662-328-2061",
            "fax_number": "662-328-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SCOTT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "128223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113517",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmann Bowen
• Karissa Wright Boyd, DO
• Kenneth Brian Boyd, D.O.
• Edward Clarke Bozeman Jr., D.M.D.
• Jerrod Bradley, PHARMD
• Andrea Branch, FNP
• Barbara M Brandon, LPN11(NURSE)
• Jamie Brannon, SLP
• Patrick Andrews Brasell
• Amber L Brasfield, NP

• Ophthalmology Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.