Individual
DR. JERRY ALLEN BRADLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, EDD, MDIV
Contact information
Practice address
575 STANTON RD, MOBILE, AL 36617-2344
(251) 471-7207
(251) 471-7207
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD.34716
AL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD.34716
AL
Other
Enumeration date
02/07/2013
Last updated
06/16/2025
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