Individual
BRADLEY NESBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 PINE RIDGE CIR, BRANDON, MS 39047-7514
(601) 209-9109
Mailing address
140 PINE RIDGE CIR, BRANDON, MS 39047-7514
(601) 209-9109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-2996
MS
2085R0202X
Diagnostic Radiology Physician
Primary
29141
MS
208D00000X
General Practice Physician
29141
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2015
Last updated
03/11/2022
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