| Charles R Bradford Md Pc | |
|
508 Harley St Ste D Scottsboro AL 35768-4263 | |
| (256) 259-6054 | |
| (256) 259-5206 |
| Full Name | Charles R Bradford Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 508 Harley St Ste D, Scottsboro, Alabama |
| Authorized Official Name and Position | Charles R Bradford (PRESIDENT) |
| Authorized Official Contact | 2562596054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Bradford Md Pc 508 Harley St Ste D Scottsboro AL 35768-4263 Ph: (256) 259-6054 | Charles R Bradford Md Pc 508 Harley St Ste D Scottsboro AL 35768-4263 Ph: (256) 259-6054 |
| NPI Number | 1497821847 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497821847 | NPI | - | NPPES |
| 51003793 | Other | AL | BLUE CROSS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00007481 (Alabama) | Primary |
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