Mr. Bart Jerome Bradford
Mr. Bart Jerome Bradford is a Home Health Aide in Vidalia, Louisiana. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
401 Lynn St Ste AVidalia, LA 71373-3806
Phone: (614) 519-1615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1831707249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2020 |
| Last updated in NPPES | July 22, 2020 |
| Certification date | July 22, 2020 |
| Mailing address | 421 Myrtle St, Vidalia, LA 71373-3824 |