BRADLEY SHORE MD LLC NPI 1083962021

NPI Information

  • NPI: 1083962021
  • Provider Name: BRADLEY SHORE, MD, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 107 E SHANKLAND AVE
    JENNINGS, LA
    ZIP 70546
  • Phone: (866) 546-6643

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NPI Details

BRADLEY SHORE, MD, LLC is a diagnostic radiology radiology in Jennings, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BRADLEY SHORE, MD, LLC NPI is 1083962021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 E SHANKLAND AVE
JENNINGS, LA
ZIP 70546-709
Phone: (866) 546-6643
Fax: (337) 824-4199

The provider's authorized official is Bradley S Shore .
The authorized official title is Owner and has the following contact phone number (504) 905-2728.

The enumeration date for this NPI number is 8/23/2012 and was last updated on 8/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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