Individual provider · Type 1 NPI

Bobby Deshaun Bradley, MD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1518653385 Active

Practice location

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Call (901) 448-6661 Map

Fax (901) 448-7440

Mailing address

2072 Vollintine Ave
Memphis, TN 38107-4700

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1518653385

Bobby Deshaun Bradley, MD's National Provider Identifier is 1518653385, issued on Apr 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Apr 14, 2023.