Paul Bradley MD PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

P6344 Issued in TX

Legal business name

PAUL BRADLEY MD PLLC

Practice address

703 E Marshall Ave Ste 4009
Longview, TX 75601-5500

Phone

(903) 315-4455

NPI assigned

Oct 6, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Bradley, MDNPI 1932369832

Title

President

Phone

(903) 315-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul R Bradley, MD

  • Urology Physician
  • Longview, TX
  • NPI 1932369832
  Authorized official Same address or phone
• Muhammad Marouf Chaudhry, MD

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1194973701
  NPD (past)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1649780453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3002",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756063002",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE STE 4009",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BRADLEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-315-4455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P6344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "P6344",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathstones Counseling Center
• Pathways Physician Services PLLC
• Casey Patterson, COTA
• Datoya Patterson
• Kristin Renee Patterson, CRNA
• Ivan N Pawlowicz, MD
• Gregory N Payne, MD
• Peak Performance Chiropractic, P.a. (Peak Performance Chiropractic)
• Laurie L Pearce, D.C.
• Roger Allen Pearce, MD

• Urology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.