Bradford Place Surgery and Laser Center, LLC
Bradford Place Surgery and Laser Center, LLC is an Ambulatory Surgical Clinic/Center in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2005.
- Licensed in
- MO
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1531 E Bradford Pkwy Ste 120Springfield, MO 65804-6539
Phone: (417) 886-3900
Fax: (417) 886-0094
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 118.6 (MO) |
|---|
Record details
| NPI number | 1588667208 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Wynn — Credentialing · (417) 823-2838 |
| NPI enumerated | May 27, 2005 |
| Last updated in NPPES | October 31, 2025 |
| Certification date | October 31, 2025 |
| Mailing address | 1531 E Bradford Pkwy Ste 100, Springfield, MO 65804-6539 |
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