# BRADLEY FOOTCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477881092
- **Authorized official:** DR. JESSE H BRADLEY JR. DPM (PODIATRIST)
- **Authorized official phone:** (870) 733-0888

## Contact information

- **Practice address:** 116 W TYLER AVE STE B, WEST MEMPHIS, AR 72301-4221
- **Practice address phone:** (870) 733-0888
- **Practice address fax:** (870) 733-0889
- **Mailing address:** PO BOX 1752, WEST MEMPHIS, AR 72303-1752
- **Mailing address phone:** (870) 733-0888
- **Mailing address fax:** (870) 733-0889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 242 | AR | Yes |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 07/22/2020