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IndividualActiveMedicare EnrolledCan Order/Refer

Bradley Keith Shields

Nurse Practitioner

NPI: 1073086005Florence, Mississippi, 39073(601) 891-8465Male

About Bradley Keith Shields

Bradley Keith Shields is a male healthcare professional specializing in Nurse Practitioner, registered under National Provider Identifier (NPI) number 1073086005. Their primary practice is located at 128 EARL CLARK DR, Florence, Mississippi 39073.

Patients can reach the office at (601) 891-8465. Bradley Keith Shields is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Bradley Keith Shields has been NPI-registered since 2019.

Key Metrics

Rx Claims

18

$129.14

Doctor Details

Identity & Credentials

NPI Number
1073086005
Entity Type
Individual
First Name
Bradley
Last Name
Shields
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
128 EARL CLARK DR
City
Florence
State
Mississippi
ZIP
39073-6604
Country
United States
Phone
(601) 891-8465
Fax
(601) 891-8468

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner
Classification
Nurse Practitioner
Taxonomy Code
363L00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
128 EARL CLARK DR
City
FLORENCE
State
MS
ZIP
390736604

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Bradley Keith Shields's NPI number?
Bradley Keith Shields's National Provider Identifier (NPI) is 1073086005. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Bradley Keith Shields specialize in?
Bradley Keith Shields specializes in Nurse Practitioner.
Where is Bradley Keith Shields located?
Bradley Keith Shields practices at 128 EARL CLARK DR, Florence, Mississippi 39073. You can reach them by phone at (601) 891-8465.
Does Bradley Keith Shields accept Medicare?
Yes, Bradley Keith Shields is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Bradley Keith Shields offer telehealth or virtual visits?
Bradley Keith Shields does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Bradley Keith Shields is 1073086005.