| Dr James E Bradley, MD | |
|
2016 S Main St, Maryville, MO 64468-2655 | |
| (660) 562-2525 | |
| (660) 562-7993 |
| Full Name | Dr James E Bradley |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2016 S Main St, Maryville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053313015 | NPI | - | NPPES |
| 0995274 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 114129 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James E Bradley, MD 114 E South Hills Dr, Maryville, MO 64468-2659 Ph: (660) 562-2525 | Dr James E Bradley, MD 2016 S Main St, Maryville, MO 64468-2655 Ph: (660) 562-2525 |
Shellie Kathleen Faris, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4303 | |
Dr. Manuel W. Runez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7993 | |
Jack L Forest, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2600 Fax: 660-562-7911 |