| James Cary Bradshaw, DO | |
|
14884 Highway 15, Decatur, MS 39327 | |
| (604) 635-2258 | |
| Not Available |
| Full Name | James Cary Bradshaw |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 14884 Highway 15, Decatur, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982004859 | NPI | - | NPPES |
| 09131382 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-3202 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | 31567 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 25173 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| Kindred At Home | Meridian, MS | Home health agency |
| Laird Hospital Inc | Union, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laird Hospital, Inc. | 7214991769 | 30 |
| Laird Hospital, Inc. | 7214991769 | 30 |
| Entity Name | Rush Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
| Entity Name | Laird Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
| Mailing Address | Practice Location Address |
|---|---|
| James Cary Bradshaw, DO Po Box 2106, Meridian, MS 39302-2106 Ph: (601) 703-4282 | James Cary Bradshaw, DO 14884 Highway 15, Decatur, MS 39327 Ph: (604) 635-2258 |
Dr. John C. Mutziger I, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14884 Hwy 15, Decatur, MS 39327 Phone: 601-635-2258 Fax: 601-635-2259 |