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

Bradley Shore, MD, LLC

Organization Diagnostic Radiology Physician · NPI 1083962021

Bradley Shore, MD, LLC is a Diagnostic Radiology Physician in Jennings, Louisiana. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

107 E Shankland Ave
Jennings, LA 70546-4709
Phone: (866) 546-6643
Fax: (337) 824-4199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1083962021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Shore — Owner · (504) 905-2728
NPI enumeratedAugust 23, 2012
Last updated in NPPESAugust 23, 2012
Mailing address107 E Shankland Ave, Jennings, LA 70546-4709

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