# J. BRAD MADDEN, MD FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVER OAKS MANAGEMENT COMPANY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184814980
- **Legal business name:** RIVER OAKS MANAGEMENT COMPANY, INC.
- **Authorized official:** BRAD SINCLAIR (CREDENTIALING CONSULTANT)
- **Authorized official phone:** (601) 376-1259

## Contact information

- **Practice address:** 98 BURNHAM RD, SUITE B, BRANDON, MS 39042-2759
- **Practice address phone:** (601) 933-1676
- **Practice address fax:** (601) 933-9781
- **Mailing address:** 98 BURNHAM RD, SUITE B, BRANDON, MS 39042-2759
- **Mailing address phone:** (601) 933-1676
- **Mailing address fax:** (601) 933-9781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 03/06/2008