Bradley S Shore (NPI# 1427053347, PAC ID# 7810089174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1427053347 |
| PAC ID by PECOS | 7810089174 |
| Professional Enrollment ID | I20070816000749 |
| Full Name | Bradley S Shore |
| Organization Legal Name | RADIOLOGY SPECIALISTS LLC |
| Address |
3114 Lake St Lake Charles LA 70601-8338 |
| Phone Number | 3374743333 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6305749839 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-0617 | 2257618988 | RADIOLOGY SPECIALISTS LLC |
| 3114 Lake St, Lake Charles, LA 70601-8338 | 3374743333 | RADIOLOGY SPECIALISTS LLC |
| 2021 24th Ave, Suite B, Meridian, MS 39301-3121 | 6014834339 | RADIOLOGY SPECIALISTS LLC |
| 4241 Veterans Memorial Blvd, Suite 10, Metairie, LA 70006-5430 | 5044593255 | DIAGNOSTIC IMAGING SERVICES |
| Organization Legal Name | RADIOLOGY SPECIALISTS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor A Mccoy | Diagnostic Radiology | Radiology Specialists LLC | 36464 Plantation Blvd, Prairieville, LA 70769-3224 |
| Curtis R Partington | Diagnostic Radiology | Radiology Specialists LLC | 2021 24th Ave, Suite B, Meridian, MS 39301-3121 |
| Bruce R Knox | Diagnostic Radiology | Radiology Specialists LLC | 3114 Lake St, Lake Charles, LA 70601-8338 |
| Louis M Schruff Jr. | Diagnostic Radiology | Radiology Specialists LLC | 3114 Lake St, Lake Charles, LA 70601-8338 |
| Gary B Lum | Diagnostic Radiology | Radiology Specialists LLC | 3114 Lake St, Lake Charles, LA 70601-8338 |
| Street Address |
3114 LAKE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-8338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce R Knox | Diagnostic Radiology | Radiology Specialists LLC | 3114 Lake St, Lake Charles, LA 70601-8338 |
| Louis M Schruff Jr. | Diagnostic Radiology | Radiology Specialists LLC | 3114 Lake St, Lake Charles, LA 70601-8338 |
| Gary B Lum | Diagnostic Radiology | Radiology Specialists LLC | 3114 Lake St, Lake Charles, LA 70601-8338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAKE CHARLES + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Bradley S Shore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.