Bradley/Cabrera Enterprises

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

BRADLEY/CABRERA ENTERPRISES

Doing business as

iberville optics

Practice address

25420 Highway 1
Suite E
Plaquemine, LA 70764-7513

Phone

(225) 385-4464

Fax

(225) 385-4465

NPI assigned

Mar 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Michael Bradley

Title

Owner/Manager

Phone

(225) 385-4464

Specialties & licenses 1

Addresses

Other names 1

• iberville optics Doing business as

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1669748711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25420 HIGHWAY 1",
            "address_2": "SUITE E",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707647513",
            "telephone_number": "225-385-4464",
            "fax_number": "225-385-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 HIGHWAY 1",
            "address_2": "SUITE E",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707647513",
            "telephone_number": "225-385-4464",
            "fax_number": "225-385-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY/CABRERA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "225-385-4464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iberville optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Berthelot, D.D.S.
• Megan Bethly
• Bio-Medical Applications of Louisiana, LLC
• D'Nez Bob
• Kimberly Mosby Bouvay
• Celia Rene Bridgeforth, MPA, RD, LDN
• Victoria Brigalia
• Judeth Elise Lambert Brooks
• Devossia Brown
• Mark Brown Jr.

• Preferred Provider Organization in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Preferred Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.