DR. BRADLEY SCOTT SHORE (NPI# 1427053347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427053347 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY SCOTT SHORE |
| Credential | MD |
| Practice Address |
4901 Wills St Metairie LA 70006-1132 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 9529423361 |
| Mailing Telephone | 9525951100 |
| Mailing Fax Number | 9529423361 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
022372 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102090529 | 05 | |
| LA | 1948063 | 05 | |
| LA | 1481823 | 05 |
| Street Address |
4901 WILLS ST |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033428537 | Nrs Arizona, Pa | Radiology | 4901 Wills St, Metairie, LA 70006-1132 | 2010-09-30 |
| 1093928269 | Michele Theresa Longo | Psychiatry & Neurology | 4901 Wills St, Metairie, LA 70006-1132 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366977092 | John-paul Grenier | Radiology | 800 Old Metairie Dr, Metairie, LA 70001-6095 | 2017-05-01 |
| 1659551414 | Bernard A Landry, Md, LLC | Radiology | 3434 Houma Blvd Ste 300a, Metairie, LA 70006-4200 | 2007-11-09 |
| 1124213228 | Friendly Care Diagnostic Services Inc | Radiology | 3216 N Turnbull Dr, Suite B, Metairie, LA 70002-5732 | 2007-09-11 |
| 1316130776 | Stover Lester Smith II | Radiology | 250 Vincent Ave, Metairie, LA 70005-4418 | 2007-08-20 |
| 1982793899 | Brandt Michael Zimmer | Radiology | 3625 Houma Blvd, Metairie, LA 70006-4229 | 2006-10-11 |
| 1518996842 | M. Jane Clayton | Radiology | 1342 Ocean Dr, Metairie, LA 70005-1117 | 2006-06-30 |
| 1821031592 | Richard B Levine | Radiology | 4241 Veterans Blvd, Suite 100, Metairie, LA 70006 | 2006-06-13 |
| 1851396725 | Christopher F Lawrence | Radiology | 4204 Teuton St, Metairie, LA 70006-4164 | 2005-06-16 |
| 1821093717 | Daniel G. Fontanez | Radiology | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2005-06-16 |
| 1033428537 | Nrs Arizona, Pa | Radiology | 4901 Wills St, Metairie, LA 70006-1132 | 2010-09-30 |
| Find all providers in METAIRIE | ||||
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| 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.