Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENT BRADLEY, P.D.
Active Sole ProprietorMR. BRENT BRADLEY, P.D. is a Long-Term Care Pharmacy healthcare provider located in MAUMELLE, Arkansas. NPI 1255760179 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · MAUMELLE, AR
Registration Details
- NPI Number
- 1255760179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2013 (12.754311699268 yrs)
- Last Updated
- Nov 1, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 CLUB MANORMAUMELLE, AR, 72113Browse AR providers · Browse ZIP 72113
- Phone
- 5018039400
- Fax
- 5018039441
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.