| Bradley Footcare Llc | |
|
116 W Tyler Ave Ste B, West Memphis, AR 72301-4221 | |
| (870) 733-0888 | |
| (870) 733-0889 |
| Full Name | Bradley Footcare Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 116 W Tyler Ave Ste B, West Memphis, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477881092 | NPI | - | NPPES |
| 180372748 | Medicaid | AR | |
| 180310717 | Medicaid | AR | |
| 199945716 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 242 (Arkansas) | Primary |
| Provider Name | Jesse H Bradley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114160389 PECOS PAC ID: 8527110410 Enrollment ID: I20090724000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Footcare Llc Po Box 1752, West Memphis, AR 72303-1752 Ph: (870) 733-0888 | Bradley Footcare Llc 116 W Tyler Ave Ste B, West Memphis, AR 72301-4221 Ph: (870) 733-0888 |
East Arkansas Foot Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 401 Graham St, West Memphis, AR 72301 Phone: 870-735-6500 Fax: 870-735-4442 | |
Dr. Jesse H. Bradley Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 116 W Tyler Ave, Suite B, West Memphis, AR 72301 Phone: 870-733-0888 Fax: 870-733-0889 | |
Mid-south Foot Care Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 302 S Rhodes St, West Memphis, AR 72301 Phone: 870-732-3131 Fax: 870-732-1301 | |
Dr. Brian David Horowitz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Graham St, West Memphis, AR 72301 Phone: 870-735-6500 Fax: 870-735-4442 | |
Poplar Podiatry P.c Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 228 W Tyler Ave, Suite 104, West Memphis, AR 72301 Phone: 870-735-6500 | |
Stephen H Zimmerman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 401 Graham St, West Memphis, AR 72301 Phone: 870-735-6500 Fax: 870-735-4442 |