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BRADLEY SHORE, MD, LLC
NPI 1083962021
Radiology - Diagnostic Radiology in Jennings, LA

Active since August 23, 2012
107 E SHANKLAND AVE, JENNINGS, LA 70546(866) 546-6643(337) 824-4199 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Shore, Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY SHORE, MD, LLC (NPI 1083962021) is a healthcare organization registered as a diagnostic radiology in Jennings, Louisiana and active in the NPI registry since August 2012. The organization lists Bradley S Shore, Owner, as its authorized official.

NPPES Registry Identity

NPI1083962021
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBRADLEY SHORE, MD, LLC
Location Address107 E SHANKLAND AVEJennings, LA 70546-4709
Mailing Address107 E Shankland AveJennings, LA 70546-4709 · (866) 546-6643 · Fax (337) 824-4199
Phone(866) 546-6643
Fax(337) 824-4199
Organization SubpartNo
Authorized OfficialBradley S ShoreOwner · (504) 905-2728
Enumeration DateAugust 23, 2012
✔ NPI 1083962021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
107 E SHANKLAND AVE, Jennings, LA 70546
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID SOUTH RADIOLOGY PARTNERS, LLC
Radiology (Diagnostic Radiology)
107 E SHANKLAND AVE
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-4525
F. MICHAEL HINDELANG, III, MD, APMC
Radiology (Diagnostic Radiology)
107 E SHANKLAND AVE
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-4525
NATIONAL MAMMOGRAPHY SERVICES, LLC
Radiology (Diagnostic Radiology)
107 E SHANKLAND AVE
JENNINGS, LA 70546
Jefferson Davis Parish (866) 546-6643
PARADOX INC
Radiology (Diagnostic Radiology)
107 E SHANKLAND AVE
JENNINGS, LA 70546
Jefferson Davis Parish (866) 546-6643
ADVANCED MEDICAL IMAGING
Radiology (Diagnostic Radiology)
107 E SHANKLAND AVE
JENNINGS, LA 70546
Jefferson Davis Parish (337) 824-4525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Shore, MD, LLC's NPI number?

The NPI number for Bradley Shore, MD, LLC is 1083962021. It was assigned to this organization in the NPPES registry on August 23, 2012.

Where is Bradley Shore, MD, LLC located?

Bradley Shore, MD, LLC is located at 107 E Shankland Ave, Jennings, LA 70546. The listed phone number is (866) 546-6643.

What is Bradley Shore, MD, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Bradley Shore, MD, LLC was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.