DR. BRADLEY BLEY (NPI# 1003944406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003944406 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY BLEY |
| Credential | D.O. |
| Practice Address |
1096 Old Churchmans Rd Newark DE 19713-2102 |
| Mailing Address |
1941 Limestone Rd Ste 101 Wilmington DE 19808-5408 |
| Practice Telephone | 3026559494 |
| Practice Fax Number | 3023514898 |
| Mailing Telephone | 3026333555 |
| Mailing Fax Number | 3026333350 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C7-0003472 | DE | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
C2-0008798 | DE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | C7-0003472 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1003944406 | 05 |
| Street Address |
1096 OLD CHURCHMANS RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720672 | Thomas Edwards | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2005-06-20 |
| 1922614981 | Kalette Demarrais | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-09-16 |
| 1083236897 | Cora M Goldberg | Specialist/Technologist | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2020-05-14 |
| 1689101917 | George Alvin Duffield | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2017-05-17 |
| 1770949026 | Daniel Maistre | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2015-12-31 |
| 1023499183 | Matthew Stump | Physician Assistant | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2015-06-15 |
| 1427221753 | Julia S Gelman Glazier | Nurse Practitioner | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2008-04-08 |
| 1760661193 | Michael J Principe | Orthopaedic Surgery | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2007-11-02 |
| 1972663995 | Regional Orthopaedic Associates Pa | Orthopaedic Surgery | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2006-12-11 |
| 1780691386 | Orthopaedics Specialists Surgi-center, LLC | Clinic/Center | 1096 Old Churchmans Rd, Newark, DE 19713-2102 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790722478 | Sports Medicine of Delaware, Inc. | Internal Medicine | 102 Sleepy Hollow Dr, Suite 102, Middletown, DE 19709-8894 | 2006-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.