Mr. Bradford Steele Martin
Nurse Practitioner Nurse Practitioner - Family Medicine
2500 North State Street Department Of Orthopedics
Jackson
, Mississippi 39216-4505
Mr. Bradford Steele Martin
Nurse Practitioner Nurse Practitioner - Family Medicine
2500 North State Street Department Of Orthopedics
Jackson
, Mississippi 39216-4505
(601) 984-6439
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. Bradford Steele Martin
- Po Box 11407 Dept 2130 State Of Ms-University Of Ms Medical Center
- Birmingham, AL
- Zip : 35246-2130
- Fax : (601) 984-6439
- Phone : (601) 984-6426
Second Address
- Mr. Bradford Steele Martin
- 2500 North State Street Department Of Orthopedics
- Jackson, MS
- Zip : 39216-4505
- Phone : (601) 815-3045
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R850364 | MS |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | R850364 | MS |
National Provider Identifier
| NPI | 1013001544 |
|---|---|
| Provider Name | Mr. Bradford Steele Martin |
| First Address | Birmingham, AL 35246-2130 |
| Second Address | Jackson, MS 39216-4505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 24/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00754004 | (05) | MS |
| RR# P00636223 | RR#P00636223 (01) |
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.