DR. Macon Samuel Bradley, D.O.

NPI #1851521744 in Russell Springs, Kentucky

Provider Information

NPI Number: 1851521744
Entity Type: Individual
Name: DR. Macon Samuel Bradley, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Jul 25, 2009
Last Updated: Aug 31, 2017

Practice Location

Address: 153 DOWELL RD
City: Russell Springs
State: Kentucky
ZIP Code: 42642-4579
Phone: (270) 866-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Emergency Medicine	207P00000X	Primary

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