Charles R Bradford MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00007481 Issued in AL

Legal business name

CHARLES R BRADFORD MD PC

Practice address

508 Harley St Ste D
Scottsboro, AL 35768-4263

Phone

(256) 259-6054

Fax

(256) 259-5206

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Bradford, M.D.

Title

President

Phone

(256) 259-6054

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497821847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST STE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684263",
            "telephone_number": "256-259-6054",
            "fax_number": "256-259-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HARLEY ST STE D",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684263",
            "telephone_number": "256-259-6054",
            "fax_number": "256-259-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R BRADFORD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-259-6054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00007481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "51003793",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carter Counseling
• Chad Bradford M.D.P.C.
• Laura Ann Chadwick, ALC
• Theia Ann Chaffin, CCC-SLP
• Charles B. Lovelady, M.D., L.L.C.
• Madison Ashleigh Childress
• Chelsea Victoria Clark, MD
• Dakota Ellis Clark, FNP
• Melinda Pace Clark, L.C.S.W.
• Christopher Brian Clayton, M.D.

• Family Medicine Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.