IndividualActive
Jesse Bradley, D.P.M.
NPI 1114160389 · Foot & Ankle Surgery Podiatrist · West Memphis, AR
Provider details
- NPI number
- 1114160389
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 80197 (MS)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
116 W Tyler Ave
Suite B
West Memphis, AR 72301-4221
Phone: (870) 733-0888
Fax: (870) 733-0889
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1752
West Memphis, AR 72303-1752
Registry dates
- Enumerated
- 2009-04-16
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.