BRADLEY MARTIN, PA-C, Surgical BROOKHAVEN, MS

Contact Information

BRADLEY MARTIN, PA-C

815 HIGHWAY 51 N
BROOKHAVEN, MS 39601-2079

Phone: 601-554-7400
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for BRADLEY MARTIN · (Male)

NPI #	`1841249489`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	05/10/2006
Last updated	10/17/2025 - About 8 months ago
Sole proprietor ¹	No
Identifiers	MS License # PA00053 MS Medicaid 06974850
Hospital affiliation(s)	KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care) P O BOX 948/427 HIGHWAY 51 NORTH BROOKHAVEN, MS 39601

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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BRADLEY MARTIN, PA-C – NPI #1841249489Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for BRADLEY MARTIN · (Male)

Reviews for BRADLEY MARTIN

BRADLEY MARTIN, PA-C – NPI #1841249489
Surgical