Individual
DR. SCOTT T BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 HOSPITAL DR, STE 8, COLUMBUS, MS 39705-1938
(662) 328-2061
(662) 328-5000
Mailing address
39 FAIRWAY DR, COLUMBUS, MS 39705-1501
(662) 243-1486
(662) 328-5000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
128223
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113517
—
MS
Enumeration date
05/23/2005
Last updated
02/15/2013
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