Individual
BRAD W JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
Mailing address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00319
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2009018603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053570903
—
MO
01
—
P00767556
RR MEDICARE
—
Enumeration date
06/05/2008
Last updated
04/23/2021
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