Bart Jerome Bradford
Individual provider Active NPI Case Manager/Care Coordinator · Vidalia, LA
NPI 1831707249 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1831707249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 401 Lynn St Ste a
Vidalia, LA 71373-3806 - Phone
- (614) 519-1615
- NPI assigned
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Hands Healthcare LLC | Current |
Accepting new patients |
Locations
401 Lynn St
#A
Vidalia, LA 71373
Phone (614) 519-1615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
401 Lynn St Ste a
Vidalia, LA 71373-3806
Mailing address
421 Myrtle St
Vidalia, LA 71373-3824
Phone (614) 519-1615
Other providers in Vidalia, LA
- Trey Austin Book
- Book'S Pharmacy, LTD
- Marlon Bourque
- Christy Bowman
- Jerricka A Bowman
- Latrice Brengettsy
- Shacurious T Broadus
- Carolyn Ann Brown
- Edward Brown
- Rosalyn Porter Brown
All providers in Vidalia, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.