James  L  Bradley    MD
Contract Details
Open MRI of Decatur
Facility name
Provider ID
P000000188
NPI
1538144233
Tax ID
631207586
Effective Date
6/1/1999
Last Updated
2/21/2018
Direct Contract
Yes
Term Date
2/1/2018
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1201 13th Avenue Southeast
Decatur, AL 35601
United States
County
Morgan
Phone
2563507779 (Phone)
Billing Details
Address
1201 13th Avenue Southeast
Decatur, AL 35601
Billing Phone
2563507779
Specialty Type
Radiology, Diagnostic
Map
Address