Individual
DR. JAY CAMERON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M2267
TX
207WX0120X
Cornea and External Diseases Specialist Physician
M2267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195329103
—
TX
01
—
38305551
NM MEDICAID
NM
01
—
8CV658
BLUE SHIELD
TX
Enumeration date
02/20/2007
Last updated
06/27/2019
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