Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MACON SAMUEL BRADLEY, D.O.
ActiveDR. MACON SAMUEL BRADLEY, D.O. is a Emergency Medicine healthcare provider located in RUSSELL SPRINGS, Kentucky. NPI 1851521744 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · RUSSELL SPRINGS, KY
Registration Details
- NPI Number
- 1851521744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2009 (16.870065468968 yrs)
- Last Updated
- Aug 31, 2017
- Licenses
-
03294 (KY)03294 (KY)03294 (KY)
Practice Information
- Address
-
153 DOWELL RDRUSSELL SPRINGS, KY, 426424579Browse KY providers · Browse ZIP 42642
- Phone
- 2708664141
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Emergency 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.