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Dr. Bradley Noel Greenhaw

Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon

516 Pegram Dr
Tupelo , Mississippi 38801-6347

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Dr. Bradley Noel Greenhaw

Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon

516 Pegram Dr
Tupelo , Mississippi 38801-6347

(662) 844-1603

Write a Review Save Call

Dr. Bradley Noel Greenhaw

Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon

516 Pegram Dr
Tupelo , Mississippi 38801-6347

(662) 844-1603 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist
  • MOHS-Micrographic Surgeon
  • Procedural Dermatology

Languages spoken

  • English

Location

516 Pegram Dr Tupelo , Mississippi 38801-6347

First Address

  • Dr. Bradley Noel Greenhaw
  • 516 Pegram Dr
  • Tupelo, MS
  • Zip : 38801-6347
  • Fax : (662) 844-1603
  • Phone : (662) 844-6272

Second Address

  • Dr. Bradley Noel Greenhaw
  • 516 Pegram Dr
  • Tupelo, MS
  • Zip : 38801-6347
  • Fax : (662) 844-1603
  • Phone : (662) 844-6272

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FAQs


Where did Dr. Bradley Noel Greenhaw attend graduate school?

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Where did Dr. Bradley Noel Greenhaw do his residency?

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Where did Dr. Bradley Noel Greenhaw do his fellowship?

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Is Dr. Bradley Noel Greenhaw board certified?

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What type of doctor is Dr. Bradley Noel Greenhaw

Dermatologist

In what state does Dr. Bradley Noel Greenhaw practice in?

Mississippi

Where is Dr. Bradley Noel Greenhaw ’s practice located?

516 Pegram Dr , Tupelo, Mississippi, 38801-6347

What is Dr. Bradley Noel Greenhaw ’s gender?

Male

Is Dr. Bradley Noel Greenhaw a sole practitioner?

No

Is Dr. Bradley Noel Greenhaw accepting new patients?

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What languages does Dr. Bradley Noel Greenhaw speak?

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Does Dr. Bradley Noel Greenhaw accept insurance?

Yes, Dr. Bradley Noel Greenhaw accepts insurance

Does Dr. Bradley Noel Greenhaw offers telemedicine?

Dr. Bradley Noel Greenhaw has not indicated if he offers telemedicine

What is Dr. Bradley Noel Greenhaw ’s professional license number?

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What is Dr. Bradley Noel Greenhaw ’s NPI number?

1215249131

Does Dr. Bradley Noel Greenhaw have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist 23810 MS
N 207ND0101X MOHS-Micrographic Surgeon 23810 MS
N 207NS0135X Procedural Dermatology 23810 MS

National Provider Identifier

NPI 1215249131
Provider Name Dr. Bradley Noel Greenhaw
First Address Tupelo, MS 38801-6347
Second Address Tupelo, MS 38801-6347
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 08/07/2010
Last Update Date 19/05/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
T-2318 TEMPORART MS MEDICAL LICENSE NUMBER (01) MS

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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