Dr. Macon Samuel Bradley
Family Doctor Emergency Physician Family Doctor - Addiction Medicine
153 Dowell Rd
Russell Springs
, Kentucky 42642-4579
Dr. Macon Samuel Bradley
Family Doctor Emergency Physician Family Doctor - Addiction Medicine
153 Dowell Rd
Russell Springs
, Kentucky 42642-4579
(270) 866-4141
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About
Features
Specialties
- Emergency Physician
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Macon Samuel Bradley
- P.o. Box 1610 Dowell Rd
- Russell Springs, KY
- Zip : 42642
- Phone : (270) 866-4141
Second Address
- Dr. Macon Samuel Bradley
- 153 Dowell Rd
- Russell Springs, KY
- Zip : 42642-4579
- Phone : (270) 866-4141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 03294 | KY |
| N | 207Q00000X | Family Doctor | 03294 | KY |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 03294 | KY |
National Provider Identifier
| NPI | 1851521744 |
|---|---|
| Provider Name | Dr. Macon Samuel Bradley |
| First Address | Russell Springs, KY 42642 |
| Second Address | Russell Springs, KY 42642-4579 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2009 |
| Last Update Date | 31/08/2017 |
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.