| Name: | Bradford Family Healthcare, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Sep 2013 (11 years ago) |
| Entity Number: | 000-287-798 |
| Register Number: | 000287798 |
| ZIP code: | 35768 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Registered Office Street Address: | 508 HARLEY STREET, SUITE DSCOTTSBORO, AL 35768 |
| Authorized Capital: | 1000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407284532 | 2013-10-29 | 2022-04-19 | 508 HARLEY ST, SUITE D, SCOTTSBORO, AL, 357684294, US | 508 HARLEY ST, SUITE D, SCOTTSBORO, AL, 357684294, US | |||||||||||||||||||
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| Phone | +1 256-259-6054 |
| Fax | 2562595206 |
Authorized person
| Name | DR. CHARLES RAYMOND BRADFORD IV |
| Role | PRESIDENT |
| Phone | 2566473276 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 00026295 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRADFORD, CHARLES R III | Agent | 508 HARLEY STREET, SUITE DSCOTTSBORO, AL 35768 |
| Name | Role | Address |
|---|---|---|
| BRADFORD, CHARLES R III | Director | 508 HARLEY STREET, SUITE DSCOTTSBORO, AL 35768 |
| BRADFORD, CHARLES R IV | Director | 58 HARLEY STREET SUITE BSCOTTSBORO, AL 35768 |
| Name | Role | Address |
|---|---|---|
| BRADFORD, CHARLES R III | Incorporator | 508 HARLEY STREET, SUITE DSCOTTSBORO, AL 35768 |
| BRADFORD, CHARLES R IV | Incorporator | 58 HARLEY STREET SUITE BSCOTTSBORO, AL 35768 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
