Jay Cameron Bradley in Lubbock - Cornea And External Diseases Specialist

Jay Cameron Bradley - NPI 1912042763

Jay Cameron Bradley is a Cornea And External Diseases Specialist in Lubbock, Texas. Jay Cameron Bradley practices all healthcare services and medical treatments related to Cornea And External Diseases Specialist. The NPI Number for Jay Cameron Bradley is 1912042763. The last update date is 2019-06-27.

Jay Cameron Bradley's current location address is 5109 80th St, Lubbock, Texas. You can contact this provider via phone number 8067925900 and fax number 8067926092. The mailing address for Jay Cameron Bradley is 5109 80th St, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Cameron Bradley
Address 5109 80th St, Lubbock, Texas
Phone Number 8067925900
Fax Number 8067926092
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912042763
Provider Enumeration Date 2007-02-20
Last Updated Date 2019-06-27

Provider Mailing Address Detail

Address 5109 80th St
City Lubbock
State Texas (TX)
Post Code 794243017
Phone Number 8067925900
Fax Number 8067926092

Provider's Primary Taxonomy Detail

Speciality Cornea And External Diseases Specialist
Taxonomy 207Wx0120X
Licence No M2267
Definition:
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
195329103 TX --
38305551 NM NM MEDICAID
8CV658 TX BLUE SHIELD

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FAQs about Jay Cameron Bradley

What is the unique 10-digit identifier code issued to Jay Cameron Bradley by the Centers for Medicare & Medicaid Services?

The Jay Cameron Bradley has been assigned the NPI (National Provider Identifier) 1912042763 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Jay Cameron Bradley's physical address?

The Jay Cameron Bradley is physically located at 5109 80Th St, in the city of Lubbock, TX, with the postal code 794243017.

What is Jay Cameron Bradley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jay Cameron Bradley is Cornea And External Diseases Specialist, and the taxonomy classification code that categorizes this area of expertise is 207Wx0120X.

On what date did the Jay Cameron Bradley receive the assignment of its 1912042763 from the Centers for Medicare & Medicaid Services?

The Jay Cameron Bradley was issued its 1912042763 by the Centers for Medicare & Medicaid Services on 2007-02-20.

As of what date were the details related to Jay Cameron Bradley most recently updated or revised?

The information pertaining to Jay Cameron Bradley, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-27.

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