OrganizationActive
Bradley Shore, MD, LLC
NPI 1083962021 · Diagnostic Radiology Physician · Jennings, LA
Provider details
- NPI number
- 1083962021
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Shore, Owner(504) 905-2728
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
107 E Shankland Ave
Jennings, LA 70546-4709
Phone: (866) 546-6643
Fax: (337) 824-4199
Approximate (ZIP-level) locationGet directions
Mailing address
107 E Shankland Ave
Jennings, LA 70546-4709
Registry dates
- Enumerated
- 2012-08-23
- Last updated
- 2012-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.