Healthcare Provider Details

I. General information

NPI: 1326201377
Provider Name (Legal Business Name): BRADLEY J. JORDISON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 STANGE ROAD MCFARLAND CLINIC, PC
AMES IA
50010-3014
US

IV. Provider business mailing address

1215 DUFF AVE MCFARLAND CLINIC, PC
AMES IA
50010-3014
US

V. Phone/Fax

Practice location:
  • Phone: 515-956-4050
  • Fax: 515-956-4099
Mailing address:
  • Phone: 515-239-4400
  • Fax: 515-239-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR8412
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3999
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: