Provider Demographics
NPI:1518451129
Name:MURRAY, BRADLEY ALTON (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:ALTON
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-0144
Mailing Address - Country:US
Mailing Address - Phone:662-720-0334
Mailing Address - Fax:662-200-5958
Practice Address - Street 1:302 KAKI ST
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-1117
Practice Address - Country:US
Practice Address - Phone:662-423-3662
Practice Address - Fax:662-423-2509
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS26995207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine