Bradley Shore, MD, LLC
Bradley Shore, MD, LLC is a healthcare organization registered as Diagnostic Radiology Physician in Jennings, LA, holding Type 2 (organization) NPI 1083962021 since 2012. The authorized official on file is Bradley Shore, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083962021 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bradley Shore, MD, LLC |
| Practice address | 107 E SHANKLAND AVE, Jennings, LA, 70546 |
| Phone | 8665466643 |
| Fax | 3378244199 |
| Enumeration date | 2012-08-23 |
| Last updated in NPPES | 2012-08-23 |
Authorized official
| Name | Bradley Shore |
|---|---|
| Title | Owner |
| Phone | 5049052728 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Copy-ready billing details
Provider: Bradley Shore, MD, LLC NPI: 1083962021 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 107 E SHANKLAND AVE, Jennings, LA, 70546
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134141245 | Mid South Radiology Partners, LLC | Organization | Diagnostic Radiology Physician | Jennings, LA |
| 1841390622 | Advanced Medical Imaging | Organization | Diagnostic Radiology Physician | Jennings, LA |
| 1578699138 | Paradox Inc | Organization | Diagnostic Radiology Physician | Jennings, LA |
| 1154513893 | F. Michael Hindelang, III, MD, Apmc | Organization | Diagnostic Radiology Physician | Jennings, LA |
| 1437324092 | National Mammography Services, LLC | Organization | Diagnostic Radiology Physician | Jennings, LA |
Verify this record
Cross-check NPI 1083962021 against the authoritative CMS record: view Bradley Shore, MD, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Bradley Shore, MD, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-23.