DR. ROBERT BRADFORD MIMS (NPI# 1003964206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003964206 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRADFORD MIMS |
| Credential | M D |
| Practice Address |
5500 Wilshire Dr Santa Rosa CA 95404-1056 |
| Practice Telephone | 7075453801 |
| Practice Fax Number | 7075453801 |
| Mailing Telephone | 7075453801 |
| Mailing Fax Number | 7075453801 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2012-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C232310 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851303135 | Robert Lewis Mims | Psychiatry & Neurology | 900 W Mitchell St, Arlington, TX 76013-2537 | 2006-08-13 |
| 1881777647 | Robert Wayne Mims | Psychologist | 4646 Corona Dr, Suite 256, Corpus Christi, TX 78411-4320 | 2006-10-23 |
| Street Address |
5500 WILSHIRE DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558897538 | Maya's Massage Inc. | Specialist | 1955 Dogwood Dr, Santa Rosa, CA 95403-1577 | 2017-05-11 |
| 1972053114 | Peter John Holewinski | Specialist | 170 Farmers Ln Ste 11, Santa Rosa, CA 95405-4750 | 2016-10-12 |
| 1922425123 | Kellie Ann Hislop | Specialist | 320 Tesconi Circle, Suite G, Santa Rosa, CA 95401 | 2014-03-25 |
| 1841460698 | Julie Hindley | Specialist | 6574 Oakmont Drive, Santa Rosa, CA 95409 | 2008-03-07 |
| 1659553436 | David Moll | Specialist | 85 Brookwood Ave, Suite 22, Santa Rosa, CA 95404-4513 | 2007-12-03 |
| 1952591620 | Juliana Margarita Ribar | Specialist | 211 Ridgeway Ave., Santa Rosa, CA 95401 | 2007-07-30 |
| 1831302090 | Chris Everett Kerger | Specialist | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2007-05-07 |
| 1598977498 | Santa Rosa Cardiac Surgery | Specialist | 3536 Mendocino Ave., Suite 250, Santa Rosa, CA 95403 | 2007-05-04 |
| 1417086281 | John Martin Mcavoy | Specialist | 4773 Hoen Ave, Santa Rosa, CA 95405-7862 | 2007-03-05 |
| 1629103205 | David P Suchard IIi | Specialist | 1260 N Dutton Ave Ste 244, Santa Rosa, CA 95401-4672 | 2007-02-22 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.