Mark Bradley

NPI 1053727156 · on the registry since 2014 · sole proprietor

Practice

Address: 1585 3rd St
Bjach
Fort Polk, LA 71459
Phone: (337) 531-3942
Organisation at this address: Ach Bayne-Jones-Ft Johnson
Bayne-Jones Army Community Hospital
Bayne-Jones Army Community Hospital
Baynes-Jones Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 166

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana