Individual provider Active NPI

Bradley James Jordan, MD

  • Family Medicine Physician
  • Saint Francisville, LA
National Provider Identifier
1972184273
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
340609 Issued in LA
Practice address
5326 Oak St
Saint Francisville, LA 70775-4510
Phone
(225) 635-5848
Fax
(225) 635-9595
NPI assigned
Apr 19, 2021
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 340609 LA Primary

Addresses

Primary practice location

5326 Oak St
Saint Francisville, LA 70775-4510

Mailing address

PO Box 487
Saint Francisville, LA 70775-0487
Phone (225) 635-5848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716000030 LA Practitioner - Family Practice 8628487212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Services LLCGroup PAC ID 7911927249, 7 clinicians

Practice addresses (Care Compare)

5326 Oak St
Saint Francisville, LA 70775-4510
Phone (225) 635-5848

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Services LLC Family Medicine CurrentSince Aug 22, 2024 Accepting new patients
West Feliciana Parish Hospital Physician Clinic Family Medicine PastSince Sep 15, 2024 Accepting new patients

Locations

5326 Oak St
St Francisvle, LA 70775
Phone (225) 635-5848

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/westfel-403f2fc3

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1972184273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707750487",
            "telephone_number": "225-635-5848",
            "fax_number": "225-635-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 OAK ST",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707754510",
            "telephone_number": "225-635-5848",
            "fax_number": "225-635-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "340609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

Verify at the official NPI Registry.