Bradley Scott Boop
Neurologist
10001 Lile Dr
Little Rock
, Arkansas 72205-6217
Bradley Scott Boop
Neurologist
10001 Lile Dr
Little Rock
, Arkansas 72205-6217
(501) 221-0295
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Bradley Scott Boop
- 10001 Lile Dr
- Little Rock, AR
- Zip : 72205-6217
- Fax : (501) 221-0295
- Phone : (501) 227-8000
Second Address
- Bradley Scott Boop
- 10001 Lile Dr
- Little Rock, AR
- Zip : 72205-6217
- Fax : (501) 221-0295
- Phone : (501) 227-8000
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | C7662 | AR |
National Provider Identifier
| NPI | 1033145792 |
|---|---|
| Provider Name | Bradley Scott Boop |
| First Address | Little Rock, AR 72205-6217 |
| Second Address | Little Rock, AR 72205-6217 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 17/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 127655001 | (05) | AR |
| 682288 | MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC (01) | AR |
| G04512 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.