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Bradley Shore, MD, LLC

Diagnostic Radiology Physician in Jennings, LA · enumerated 2012 · authorized official Bradley Shore, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083962021

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Registry record

Entity type Organization (Type 2)
Legal business name Bradley Shore, MD, LLC
Practice address 107 E Shankland Ave, Jennings, LA, 70546
Phone (866) 546-6643
Fax (337) 824-4199
Enumeration date Aug 23, 2012
Last updated in NPPES Aug 23, 2012

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Bradley Shore
Title Owner
Phone (504) 905-2728

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Bradley Shore, MD, LLC?
NPPES lists Bradley Shore (Owner) as the authorized official for this organization.
What is the NPI number for Bradley Shore, MD, LLC?
The NPI for Bradley Shore, MD, LLC is 1083962021, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-23.