BRADFORD PROFESSIONAL SERVICES - MS, LLC – NPI #1275487696
Clinic/Center

BRADFORD PROFESSIONAL SERVICES - MS, LLC is an AHC clinic located in LUCEDALE, MS. NPPES has assigned the NPI number 1275487696 to BRADFORD PROFESSIONAL SERVICES - MS, LLC on February 23, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRADFORD PROFESSIONAL SERVICES - MS, LLC below.

NPI Profile for
BRADFORD PROFESSIONAL SERVICES - MS, LLC

NPI Number
1275487696
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRADFORD PROFESSIONAL SERVICES - MS, LLC
Primary location
226 LOWE LN
LUCEDALE, MS 39452-4313
Phone: (601) 791-5135 Fax:
Mailing address
1 PERIMETER PARK S STE 200
BIRMINGHAM, AL 35243-2327
Phone: (205) 251-7753 Fax: (205) 251-7760
Organization Subpart
No
Authorized Official
MARK EDWARDS
CFO
Phone: (205) 244-8112
Updated
Certification Date
Feb 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.