| Name: | Chad Bradford M.D. P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Mar 2006 (19 years ago) (Companies founded in March 2006) |
| Entity Number: | 000-246-343 |
| Register Number: | 000246343 |
| ZIP code: | 35801 (Companies in Madison, 35801) |
| County: | Madison |
| Place of Formation: | Jackson County |
| Registered Office Street Address: | 2714 OVERTON DRHUNTSVILLE, AL 35801 |
| Principal Address: | HUNTSVILLE, AL |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659487411 | 2006-08-22 | 2008-06-17 | 508 HARLEY ST, SUITE B, SCOTTSBORO, AL, 357684294, US | 508 HARLEY ST, SUITE B, SCOTTSBORO, AL, 357684294, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 256-259-0734 |
Authorized person
| Name | MS. SANDY CHILDRESS |
| Role | CODER/BILLER |
| Phone | 2562590734 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 00026295 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRADFORD, CHAD | Agent | 2826 6TH AVENUE SOUTH, BIRMINGHAM, ABIRMINGHAM, AL 35233-1928 |
| Name | Role | Address |
|---|---|---|
| BRADFORD, CHAD | Incorporator | 2826 6TH AVENUE SOUTH, BIRMINGHAM, ABIRMINGHAM, AL 35233-1928 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
