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Contact Information

JAMES C BRADSHAW, DO
14884 HIGHWAY 15
DECATUR, MS39327
 Phone: 604-635-2258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAMES C BRADSHAW · (Male)

NPI Number 1982004859
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/28/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-3202
  • GA License # 31567
  • MS License # 25173
  • MS Medicaid 09131382
Hospital affiliation(s)
  • ANDERSON REGIONAL MEDICAL CENTER - (Acute Care)
    2124 14 ST
    MERIDIAN, MS 39301
  • LAIRD HOSPITAL INC - (Critical Access)
    25117 HIGHWAY 15
    UNION, MS 39365
  • NESHOBA COUNTY GENERAL HOSPITAL - (Acute Care)
    1001 HOLLAND AVENUE
    PHILADELPHIA, MS 39350
  • RUSH FOUNDATION HOSPITAL - (Acute Care)
    1314 19TH AVE
    MERIDIAN, MS 39301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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