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Contact Information

JAY C BRADLEY, MD
5109 80TH ST
LUBBOCK, TX79424-3017
 Phone: 806-792-5900
 Fax: 806-792-6092
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Cornea and External Diseases Specialist

207WX0120X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JAY C BRADLEY · (Male)

NPI Number 1912042763
Status Active
Credentials MD
Entity Individual
Enumeration date 02/20/2007
Last updated 06/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M2267
  • TX Medicaid 195329103
  • NM Other 38305551 NM MEDICAID
  • TX Other 8CV658 BLUE SHIELD
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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