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Contact Information

JERRY A BRADLEY JR, MD, EDD, MDIV
575 STANTON RD
MOBILE, AL36617-2344
 Phone: 251-471-7207
 Fax: 251-471-7207
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JERRY A BRADLEY JR · (Male)

NPI Number 1376882563
Status Active
Credentials MD, EDD, MDIV
Entity Individual
Enumeration date 02/07/2013
Last updated 06/16/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • AL License # MD.34716
Hospital affiliation(s) Not Available
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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