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

Bradley Keith Shields

Individual provider Nurse Practitioner · NPI 1073086005

Bradley Keith Shields is a Nurse Practitioner in Florence, Mississippi. Licensed in Mississippi. Registered with an NPI since 2019.

Licensed in
MS
In the registry since
2019

Practice location Address checks out

128 Earl Clark Dr
Florence, MS 39073-6604
Phone: (601) 891-8465
Fax: (601) 891-8468
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903096 (MS)

Record details

NPI number1073086005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2019
Last updated in NPPESJanuary 2, 2019
Mailing address128 Earl Clark Dr, Florence, MS 39073-6604

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