# CHARLES R BRADFORD MD PC

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

## Provider details

- **NPI number:** 1497821847
- **Authorized official:** DR. CHARLES R BRADFORD M.D. (PRESIDENT)
- **Authorized official phone:** (256) 259-6054

## Contact information

- **Practice address:** 508 HARLEY ST STE D, SCOTTSBORO, AL 35768-4263
- **Practice address phone:** (256) 259-6054
- **Practice address fax:** (256) 259-5206
- **Mailing address:** 508 HARLEY ST STE D, SCOTTSBORO, AL 35768-4263
- **Mailing address phone:** (256) 259-6054
- **Mailing address fax:** (256) 259-5206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00007481 | AL | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020