Jared T Bradley (NPI# 1710208087, PAC ID# 8628348042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1710208087 |
| PAC ID by PECOS | 8628348042 |
| Professional Enrollment ID | I20170720000583 |
| Full Name | Jared T Bradley |
| Organization Legal Name | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Address |
1105 Earl Frye Blvd Gilmore Mem Reg Med Ctr Amory MS 38821-5500 |
| Phone Number | 6622567111 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4981608817 |
| Number of Group Practice Members | 293 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250025 | GILMORE MEMORIAL HOSPITAL |
| 250099 | GREENWOOD LEFLORE HOSPITAL |
| 380050 | SKY LAKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1105 Earl Frye Blvd, Gilmore Mem Reg Med Ctr, Amory, MS 38821-5500 | 6622567111 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheeraz A Daudi | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 23843 N Lookout Pointe Rd, Port Barrington, IL 60010-1091 |
| Andrew H Westmoreland | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 289 Southern Oak Dr, Ponte Vedra, FL 32081-8366 |
| Michael L Doxey | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 801 S Royal St, Alexandria, VA 22314-4340 |
| Saniya A Merchant | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1737 Old Trenton Rd, Princeton Junction, NJ 08550-3210 |
| Robert Edward Stone | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 4050 Battery Blvd, Apt 419, Williamsburg, VA 23185-4771 |
| Jason Mallow | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2012 Drumone Ct, Midlothian, VA 23112-5538 |
| Guido E Santacana-laffitte | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 13462 Muirkirk Ln, Herndon, VA 20171-3305 |
| Guy N Gibson | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 905 S 110th Plz, Omaha, NE 68154-3370 |
| Chirag A Patel | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1522 N E End Ave, Round Lake Beach, IL 60073-2147 |
| Matthew T Hoffman | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2814 Soft Horizon Way, Las Vegas, NV 89135-1736 |
| Street Address |
1105 EARL FRYE BLVD GILMORE MEM REG MED CTR |
| City | AMORY |
| State | MS |
| Zip | 38821-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Kirksey | Emergency Medicine | Mississippi Emergency Physician Services LLC | 1105 Earl Frye Blvd, Gilmore Memorial Regional Medical Ctr, Amory, MS 38821-5500 |
| Stephen S Hathcock | Family Medicine | Comprehensive Hospitalists of Ms, LLC | 1105 Earl Frye Blvd, Amory, MS 38821-5500 |
| Akinremi Akinwale | Internal Medicine | Comprehensive Hospitalists of Ms, LLC | 1105 Earl Frye Blvd, Amory, MS 38821-5500 |
| Juli K Johnson | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 Earl Frye Blvd, Gilmore Regional Medical Center, Amory, MS 38821-3227 |
| Susan F Garner | Nurse Practitioner | Comprehensive Hospitalists of Ms, LLC | 1105 Earl Frye Blvd, Amory, MS 38821-5500 |
| Paul A Bohnen | Family Medicine | Mississippi Emergency Physician Services LLC | 1105 Earl Frye Blvd, Gilmore Memorial Regional Medical Ctr, Amory, MS 38821-5500 |
| Danny D Moore | Internal Medicine | Comprehensive Hospitalists of Ms, LLC | 1105 Earl Frye Blvd, Amory, MS 38821-5500 |
| Roger D Ratliff | Internal Medicine | Healogics Specialty Physicians of Mississippi LLC | 1105 Earl Frye Blvd, Amory, MS 38811-5500 |
| Cheryl Burcham | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 Earl Frye Blvd, Gilmore Regional Medical Center, Amory, MS 38821-3227 |
| James W Lewis | Pathology | North Mississippi Gilmore Clinics LLC | 1105 Earl Frye Blvd, Amory Pathology, Amory, MS 38821-5500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail Miller | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| James A Mcdaniel | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| Tara Wadkins | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| Sarah E Hodge | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 E Fry Blvd, Amory, MS 38821-3227 |
| Angela Serio | Certified Registered Nurse Anesthetist (crna) | Willow Anesthesia Services, LLC | 1105 Earl Frye Blvd, Gilmore Regional Medical Center, Amory, MS 38821-3227 |
| Lewis Richard French | Chiropractic | 200 3rd St N, Amory, MS 38821-3423 | |
| Steve Randle | Optometry | 307 Main S St, Amory, MS 38821-4219 | |
| Michael Joseph Boland | Cardiovascular Disease (cardiology) | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| Teresa Stanford | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| Sharla E Saylors | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
| Find all physicians in zip 38821 | |||
| City | AMORY |
| Zip Code | 38821 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | AMORY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jared T Bradley.
| 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.