De'shauris Nelson Bradford (NPI# 1942688841, PAC ID# 9436439072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1942688841 |
| PAC ID by PECOS | 9436439072 |
| Professional Enrollment ID | I20190115002737 |
| Full Name | De'shauris Nelson Bradford |
| Organization Legal Name | ISLAND MEDICAL WINNSBORO LLC |
| Address |
2106 Loop Rd Winnsboro LA 71295-3344 |
| Phone Number | 3184359411 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4385937457 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190140 | FRANKLIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2106 Loop Rd, Winnsboro, LA 71295-3344 | 3184359411 | ISLAND MEDICAL WINNSBORO LLC |
| 2106 Loop Rd, Winnsboro, LA 71295-3344 | FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1 |
| Organization Legal Name | ISLAND MEDICAL WINNSBORO LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Eldridge | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Melissa A Traxler | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| David R Easterling | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Gary Baskin Jr. | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Carter W Quayle | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Caren Beth Becker | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Dennis M Sullivan | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Tommy Glenn Banks Iii | Family Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Street Address |
2106 LOOP RD |
| City | WINNSBORO |
| State | LA |
| Zip | 71295-3344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger A Smith | Internal Medicine | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Joel Eldridge | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Melissa A Traxler | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Cynthia M Gray | Nurse Practitioner | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Jed Christopher Robinson | Urology | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Scott D Zentner | Psychiatry | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| John E Britt | Orthopedic Surgery | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Sears Curtiss Mull | Orthopedic Surgery | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| David R Easterling | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| David Gutierrez | General Surgery | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Pearson | Nurse Practitioner | Jimmy R Coughran A Medical Corporation | 101 Fair Ave, Winnsboro, LA 71295-2117 |
| Jimmy R Coughran | Family Medicine | Jimmy R Coughran A Medical Corporation | 101 Fair Ave, Winnsboro, LA 71295-2117 |
| Shelby S Vascocu | Nurse Practitioner | Jimmy R Coughran A Medical Corporation | 101 Fair Ave, Winnsboro, LA 71295-2117 |
| Billie Jo Bailey | Nurse Practitioner | Jimmy R Coughran A Medical Corporation | 101 Fair Ave, Winnsboro, LA 71295-2117 |
| Brian T Enlow | Physical Therapy | 3630 Front St, Winnsboro, LA 71295-2224 | |
| Jason C Riley | Physical Therapy | Winnsboro Physical Therapy Inc | 710 Prairie St, Winnsboro, LA 71295-2630 |
| Linda J. Stodghill | Nurse Practitioner | Cardiovascular Diagnostic Center | 2106 Loop Rd H, Winnsboro, LA 71295-3344 |
| Gary Baskin Jr. | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Rinata K Richard | Family Medicine | Franklin Parish Hospital Service District No1 | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Carter W Quayle | Emergency Medicine | Island Medical Winnsboro LLC | 2106 Loop Rd, Winnsboro, LA 71295-3344 |
| Find all physicians in zip 71295 | |||
| City | WINNSBORO |
| Zip Code | 71295 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WINNSBORO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on De'shauris Nelson Bradford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.