IndividualActive
Jerry Bradley, MD, EDD, MDIV
NPI 1376882563 · Geriatric Medicine (Family Medicine) Physician · Mobile, AL
Provider details
- NPI number
- 1376882563
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, EDD, MDIV
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD.34716 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
575 Stanton Rd
Mobile, AL 36617-2344
Phone: (251) 471-7207
Fax: (251) 471-7207
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746450
Atlanta, GA 30374-6450
Registry dates
- Enumerated
- 2013-02-07
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.