Bradley Martin is a Surgical in Brookhaven, Mississippi. Bradley Martin practices all healthcare services and medical treatments related to Surgical. The NPI Number for Bradley Martin is 1841249489. The last update date is 2017-01-27.
Bradley Martin's current location address is 1014 Big Lane Dr, Brookhaven, Mississippi. You can contact this provider via phone number 6018235276 and fax number 6018232206. The mailing address for Bradley Martin is 1014 Big Lane Dr, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Martin |
|---|---|
| Address | 1014 Big Lane Dr, Brookhaven, Mississippi |
| Phone Number | 6018235276 |
| Fax Number | 6018232206 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1841249489 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2017-01-27 |
Provider Mailing Address Detail
| Address | 1014 Big Lane Dr |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012331 |
| Phone Number | 6018235276 |
| Fax Number | 6018232206 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA00053 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6974850 | MS | -- |
Post Comment/ Review Below
What is the Bradley Martin's 1841249489?
The Bradley Martin's NPI (National Provider Identifier) Number is 1841249489. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradley Martin is geographically located?
The Bradley Martin is physically situated at the following location: 1014 Big Lane Dr, Brookhaven, MS, 396012331.
What is Bradley Martin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley Martin's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841249489 to Bradley Martin?
The Bradley Martin received its 1841249489 assignment from the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date was the information pertaining to Bradley Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-27.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA