Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSE H. BRADLEY JR., D.P.M.
Active Sole ProprietorDR. JESSE H. BRADLEY JR., D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in WEST MEMPHIS, Arkansas. NPI 1114160389 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · WEST MEMPHIS, AR
Registration Details
- NPI Number
- 1114160389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2009 (17.287555807827 yrs)
- Last Updated
- Jul 22, 2020
- Licenses
-
80197 (MS)2007024292 (MO)695 (TN)242 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
116 W TYLER AVESUITE BWEST MEMPHIS, AR, 723014221Browse AR providers · Browse ZIP 72301
- Phone
- 8707330888
- Fax
- 8707330889
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.