Provider Demographics
NPI:1477524973
Name:BRADFORD, JAMES DAVID (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:BRADFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5 ST VINCENT CIR
Mailing Address - Street 2:STE 201
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-978-5500
Mailing Address - Fax:501-978-5550
Practice Address - Street 1:5 ST VINCENT CIR
Practice Address - Street 2:STE 201
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-978-5500
Practice Address - Fax:501-978-5550
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARN8008207W00000X
OK15267207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology