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SHORE, BRADLEY SCOTT
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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Practice Address: |
4901 WILLS ST
METAIRIE LA 70006
Address last updated on 8/17/2011 |
Phone #: |
(504) 779-5421 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
24866 |
Dated: |
5/26/2006 |
Expires: |
5/1/2012 |
Temp.
Lic.
Issued:
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5/4/2006 |
Temp.
Lic.
Expires:
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6/24/2006 |
License Type: |
Medical Doctor |
Specialty: |
Diagnostic Radiology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Tulane Univ Sch Of Med, New Orleans La 70112 |
Graduated: |
6 /
1994 |
CME Year: |
2012 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF RADIOLOGY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Reynolds Army Community Hospital
Fort Sill, OK
St. Francis Hospital Vinita (fmly Craig General Hospital)
Vinita, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
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