Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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De'Shauris Nelson Bradford, MD

Individual provider Emergency Medicine Physician · NPI 1942688841

De'Shauris Nelson Bradford, MD is an Emergency Medicine in Port Jefferson, New York. Qualified in 2015, 11 years ago. Practices with Integrative Emergency Services Physician Group-Houston PLLC, a 216-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
11
Licensed in
LA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-2549
Fax: (631) 686-7651
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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 · Licence 310770 (LA)

Record details

NPI number1942688841
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Integrative Emergency Services Physician Group-Houston Pllc — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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