John Bradford Ingram in Jackson - Neurology With Special Qualifications In Child Neurology
John Bradford Ingram - NPI 1134319619
John Bradford Ingram is a Neurology With Special Qualifications In Child Neurology in Jackson, Mississippi. John Bradford Ingram practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for John Bradford Ingram is 1134319619. The last update date is 2014-02-04.
John Bradford Ingram's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845211. The mailing address for John Bradford Ingram is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Bradford Ingram |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845211 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134319619 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845211 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology With Special Qualifications In Child Neurology |
|---|---|
| Taxonomy | 2084N0402X |
| Licence No | 20177 |
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Definition: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8888868 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Bradford Ingram by the Centers for Medicare & Medicaid Services?
The John Bradford Ingram has been issued the NPI (National Provider Identifier) 1134319619 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Bradford Ingram is physically located?
The John Bradford Ingram is situated at the following address: 2500 N State St, Jackson, MS 392164500.
What is the area of specialization for John Bradford Ingram, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Bradford Ingram is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0402X.
When did John Bradford Ingram receive its 1134319619 assignment?
The John Bradford Ingram was assigned its 1134319619 on 2007-07-31, which is the date when this unique identifier was issued to the organization.
When was the John Bradford Ingram's information last updated?
The John Bradford Ingram's information was last updated on 2014-02-04.