DR. JESSE H. BRADLEY JR.


Address: 116 W Tyler Ave, Suite B, West Memphis, AR 72301-4221
Phone: 8707330888

DR. JESSE H. BRADLEY JR. (NPI# 1114160389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114160389
Entity Type Individual
Full Name DR. JESSE H. BRADLEY JR.
Credential D.P.M.
Practice Address 116 W Tyler Ave
Suite B
West Memphis
AR 72301-4221
Mailing Address Po Box 1752
West Memphis
AR 72303-1752
Practice Telephone 8707330888
Practice Fax Number 8707330889
Mailing Telephone 8707330888
Mailing Fax Number 8707330889
Enumeration Date 2009-04-16
Last Update Date 2020-07-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
80197 MS Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
242 AR Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
2007024292 MO Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
695 TN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 180310717 05
AR 199945716 05
AR 180372748 05

Office Location

Street Address 116 W TYLER AVE
SUITE B
City WEST MEMPHIS
State AR
Zip Code 72301-4221

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1467940312 Mark Aaron Whitlock Dentist 110 Dover Rd, West Memphis, AR 72301 2018-04-26
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477881092 Bradley Footcare LLC Podiatrist 116 W Tyler Ave Ste B, West Memphis, AR 72301-4221 2009-11-19
1154571495 Mid-south Foot & Ankle Clinic P C Podiatrist 302 S Rhodes St, West Memphis, AR 72301-4215 2008-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649791369 Kyle Haverstrom Podiatrist 200 S 20th St Ste B, Rogers, AR 72758-1100 2017-07-03
1609288984 Aaron Teufel Podiatrist 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 2014-05-21
1568716744 Spencer Lewis Mortensen Podiatrist 1500 Dodson Ave Ste 260, Fort Smith, AR 72901-5179 2012-11-09
1982968574 Adam Lloyd Bingham Podiatrist 1713 W Main St, Russellville, AR 72801-2721 2012-06-27
1235314147 Stephanie A. Roth Podiatrist 703 W Main St, Russellville, AR 72801-3616 2008-01-09
1144341827 Carlotta Monique Wells Podiatrist 1132 Malvern Ave, Hot Springs, AR 71901-6347 2007-04-02
1407936388 Angela Lorraine Ayson Podiatrist 11 Halsted Cir Ste E, Rogers, AR 72756-3145 2006-10-16
1295743557 Crotty Foot Clinic P A Podiatrist 6600 Rogers Ave, Fort Smith, AR 72903-4064 2006-08-03
1104842814 Joseph M. Lacava Podiatrist 3339 Central Ave, Suite F, Hot Springs, AR 71913-6138 2006-07-14
1942243787 Reel Family Foot Clinic, P.a. Podiatrist 201 E Parkway Dr, Russellville, AR 72801-3913 2006-06-13
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Competitor

Search similar providers

City WEST MEMPHIS
Zip Code 72301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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