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Contact Information

BRAD W JONES, DPM
2828 N NATIONAL AVE
SPRINGFIELD, MO65803-4306
 Phone: 417-837-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRAD W JONES · (Male)

NPI Number 1053570903
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/05/2008
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 00319
  • MO License # 2009018603
  • MO Medicaid 1053570903
  • Other P00767556 RR MEDICARE
Hospital affiliation(s)
  • CITIZENS MEMORIAL HOSPITAL - (Acute Care)
    1500 N OAKLAND
    BOLIVAR, MO 65613
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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