Bradley Shore, MD, LLC
Bradley Shore, MD, LLC provides Diagnostic Radiology Physician services 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.
Practice location Address checks out
107 E Shankland AveJennings, LA 70546-4709 Not confirmed with CMS for 14 years — call before visiting
Phone: (866) 546-6643
Fax: (337) 824-4199
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
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|
Record details
| NPI number | 1083962021 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bradley Shore — Owner · (504) 905-2728 |
| NPI enumerated | August 23, 2012 |
| Last updated in NPPES | August 23, 2012 |
| Mailing address | 107 E Shankland Ave, Jennings, LA 70546-4709 |
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