Provider Demographics
NPI:1295730224
Name:LEMAY, THOMAS BRADFORD (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BRADFORD
Last Name:LEMAY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-767-3900
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:46 SGT PRENTISS DR
Practice Address - Street 2:SUITE 204, NATCHEZ REGIONAL MEDICAL OFFICE BUILDING
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4792
Practice Address - Country:US
Practice Address - Phone:601-653-4927
Practice Address - Fax:601-897-0542
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS15342207RC0000X, 207RI0011X
MS08005207RI0011X
ARC-7116207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2136224Medicaid
AR50570OtherBCBS OF AR
AR116163001Medicaid
AR060019384OtherRAILROAD MEDICARE
MS6471003Medicaid
AR060019384OtherRAILROAD MEDICARE
ARE10468Medicare UPIN
AR116163001Medicaid