# CHAD BRADFORD M.D.P.C.

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

## Provider details

- **NPI number:** 1659487411
- **Authorized official:** MS. SANDY CHILDRESS CPC (CODER/BILLER)
- **Authorized official phone:** (256) 259-0734

## Contact information

- **Practice address:** 508 HARLEY ST, SUITE B, SCOTTSBORO, AL 35768-4294
- **Practice address phone:** (256) 259-0734
- **Mailing address:** 508 HARLEY ST, SUITE B, SCOTTSBORO, AL 35768-4294
- **Mailing address phone:** (256) 259-0734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 00026295 | AL | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 06/17/2008