NPI 1013198951
Bradley Medical Supply LLC
Practice location
- Address
- 159 Guilbeau Rd, Mansura, LA 71350-4408
- Phone
- (318) 253-4952
- Fax
- (318) 253-4952
Authorised official
- Name
- Bradley James Daigrepont
- Title
- Owner
- Phone
- (318) 253-4952
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1013198951
- Entity type
- Organization
- NPI issued
- 20 Nov 2007
- Record last updated
- 17 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.