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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY ALLEN BRADLEY JR., MD, EDD, MDIV

Active Sole Proprietor

DR. JERRY ALLEN BRADLEY JR., MD, EDD, MDIV is a Geriatric Medicine healthcare provider located in MOBILE, Alabama. NPI 1376882563 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · MOBILE, AL

Registration Details

NPI Number
1376882563
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2013 (13.533629704986 yrs)
Last Updated
Jun 16, 2025
Licenses
MD.34716 (AL)
MD.34716 (AL)
Sole Proprietor
Yes

Practice Information

Address
575 STANTON RD
MOBILE, AL, 366172344
Browse AL providers · Browse ZIP 36617
Phone
2514717207
Fax
2514717207
Primary Specialty
Geriatric Medicine
207QG0300X
Additional Specialty
Geriatric Medicine
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.