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Dr. Bradley M. Short, D.O., P.A.

NPI 1710215041ActiveOrganization· Physical Medicine & Rehabilitation· Fort Smith, AR

Physical Medicine & Rehabilitation in Fort Smith, Arkansas, registered in NPPES in November 2009. The authorized official on file is Bradley Mark Short, D.O., Presiden. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1710215041
StatusActive
Entity typeOrganization
NPI issuedNov 24, 2009
Last updated in NPPESNov 24, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000XC7559AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

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