JEFFREY A BRADLEY MD NPI 1639270853

NPI Information

NPI: 1639270853
Provider Name: JEFFREY A BRADLEY, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 870 CRESTMARK DR STE 203
LITHIA SPRINGS, GA
ZIP 30122
Phone: (470) 881-8757

Map and Directions

Get Directions

NPI Details

Jeffrey A Bradley, MD is a general practice in Lithia Springs, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jeffrey A Bradley, MD NPI is 1639270853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

870 CRESTMARK DR STE 203
LITHIA SPRINGS, GA
ZIP 30122-665
Phone: (470) 881-8757

The NPI 1639270853 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 12/23/2019.

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
1	207V00000X	Obstetrics & Gynecology		150598	SOUTH CAROLINA	No
2	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	036345	GEORGIA	No
3	208D00000X	General Practice		036345	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295769438	OTHER	SOUTH CAROLINA	GROUP NPI NUMBER

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI