W Bradley Kimbrough III MD a Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

202378 Issued in LA

Legal business name

W BRADLEY KIMBROUGH III MD A MEDICAL CORPORATION

Practice address

3521 Highway 190 Ste P
Eunice, LA 70535-5135

Phone

(337) 457-9944

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By 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

Dr. William Bradley Kimbrough III, MD

Title

Owner

Phone

(337) 457-9944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1942580170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190 STE P",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355135",
            "telephone_number": "337-457-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190 STE P",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355135",
            "telephone_number": "337-457-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRADLEY KIMBROUGH III MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-457-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "202378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Eunice, LA
• Providers in Eunice, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.