| Bradley Medical Clinic | |
|
409 Woodruff St Bradley AR 71826-8715 | |
| (870) 894-3366 | |
| (870) 894-3760 |
| Full Name | Bradley Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 409 Woodruff St, Bradley, Arkansas |
| Authorized Official Name and Position | Michael G Patronis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3185391001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Medical Clinic 2001 Doctors Dr Springhill LA 71075-4526 Ph: (318) 539-1000 | Bradley Medical Clinic 409 Woodruff St Bradley AR 71826-8715 Ph: (870) 894-3366 |
| NPI Number | 1407960271 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 1052221249 |
|---|---|
| Medicare Enrollment ID | O20061027000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407960271 | NPI | - | NPPES |
| 134262002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Vincent B. Lococo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093745648 PECOS PAC ID: 3173435955 Enrollment ID: I20071213000371 |
| Provider Name | John M Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669404851 PECOS PAC ID: 9638269236 Enrollment ID: I20170302001730 |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Woodruff St, Bradley, AR 71826 Phone: 479-388-0446 |