Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradford Emergency Group LLC

Organization Emergency Medicine Physician · NPI 1003351818

Bradford Emergency Group LLC is an Emergency Medicine Physician in Starke, Florida. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

922 E Call St
Starke, FL 32091-3616
Phone: (904) 368-2300
Fax: (304) 368-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1003351818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 354-1221
NPI enumeratedJanuary 3, 2017
Last updated in NPPESJanuary 3, 2017
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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