Joe F Bradley Mdpa

Primary specialty

SpecialistTaxonomy code 174400000X

License

C5176 Issued in AR

Legal business name

JOE F BRADLEY MDPA

Practice address

7 Office Park Dr
Suite 120
Little Rock, AR 72211-3843

Phone

(501) 219-2412

Fax

(501) 219-2142

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Joe F Bradley, MD

Title

President

Phone

(501) 219-2412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1750521100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722032427",
            "telephone_number": "501-375-6511",
            "fax_number": "501-492-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OFFICE PARK DR",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113843",
            "telephone_number": "501-219-2412",
            "fax_number": "501-219-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE F BRADLEY MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-219-2412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.