DR. Jack Bradley Ellis D.O.

  • NPI 1003115254
According to our database, the NPI number for DR. Jack Bradley Ellis D.O. is 1003115254 and activated since 13 years ago. DR. Jack Bradley Ellis D.O. is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 1120 15th St, Augusta, GA 30912. You can also contact DR. Jack Bradley Ellis D.O. via telephone number is (706) 721-8623. Provider NPI information was last updated on 05/31/2018.

Recently Active NPIs

Overview of DR. Jack Bradley Ellis D.O.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/26/2011
  • Last updated: 05/31/2018

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1499 Walton Way Ste 1400
    Augusta, GA 30901
  • Phone: 703-724-6100
  • Fax:

Provider Practice Location

  • Address: 1120 15th St
    Augusta, GA 30912
  • Phone: 706-721-8623
  • Fax:

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 072627
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jack Bradley Ellis D.O.?
  • A: The npi number for DR. Jack Bradley Ellis D.O. is 1003115254.
  • Q: What are DR. Jack Bradley Ellis D.O.'s specialties?
  • A: DR. Jack Bradley Ellis D.O.'s specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for DR. Jack Bradley Ellis D.O.?
  • A: The medical license number for DR. Jack Bradley Ellis D.O. is unknow and issued in unknow in USA.
  • Q: Where is DR. Jack Bradley Ellis D.O. practice location?
  • A: DR. Jack Bradley Ellis D.O. is practicing at 1120 15th St, Augusta, GA 30912.
  • Q: How to contact DR. Jack Bradley Ellis D.O.?
  • A: You can contact DR. Jack Bradley Ellis D.O. via 706-721-8623.