MR. BRADLEY C. BRUSH (NPI# 1013985613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013985613 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY C. BRUSH |
| Credential | A.T.C., C.S.C.S. |
| Practice Address |
305 W Jackson St Suite Ll02 Carbondale IL 62901-1474 |
| Mailing Address |
507 S Green St Anna IL 62906-1103 |
| Practice Telephone | 6185490721 |
| Practice Fax Number | 6185290403 |
| Mailing Telephone | 6188334441 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096-000308 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356571855 | Bradley Bernard Brush | Counselor | 1864 N. Norwood Dr., Ste. D., Hurst, TX 76054 | 2009-07-17 |
| Street Address |
305 W JACKSON ST SUITE LL02 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596726 | John Ward Watson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 305 W Jackson St, Suite 105, Carbondale, IL 62901-1474 | 2005-05-24 |
| 1780034926 | Ahmed Sharif | Family Medicine | 305 W Jackson St, Carbondale, IL 62901-1474 | 2016-06-19 |
| 1548619406 | Jordan Wood | Family Medicine | 305 W Jackson St, Carbondale, IL 62901-1474 | 2016-06-10 |
| 1225499825 | Ashley Nicole Freeman | Nurse Practitioner | 305 W Jackson St, Ste 103, Carbondale, IL 62901 | 2016-03-10 |
| 1548625460 | Kasia Schaefer | Physical Medicine & Rehabilitation | 305 W Jackson St, Carbondale, IL 62901-1474 | 2015-12-18 |
| 1770966137 | Pamela Renee Milano | Family Medicine | 305 W Jackson St, Ste 200, Carbondale, IL 62901-1474 | 2015-07-02 |
| 1215319140 | Gritz Pierre | Family Medicine | 305 W Jackson St, 200, Carbondale, IL 62901-1474 | 2015-06-27 |
| 1154702116 | Nabeel Mohammed Siddiqui | Family Medicine | 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 | 2015-06-16 |
| 1992196752 | New Horizons Medical Associates, LLC | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2015-02-13 |
| 1255747002 | Fariha Rub | Family Medicine | 305 W Jackson St, Suite 200, Carbondale, IL 62901-1474 | 2014-07-01 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083084933 | Ryan Richard Erickson | Specialist/Technologist | 523 S 2nd St, Carbondale, CO 81623-2113 | 2015-10-05 |
| 1972870228 | Kristin Ann Trotter | Specialist/Technologist | Siu Arena 118, Carbondale, IL 62901 | 2011-11-30 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1336339324 | Allen Wayne Mardis | Specialist/Technologist | 1490 Douglas Dr, Mc 6620, Carbondale, IL 62901-4332 | 2007-07-26 |
| 1306806401 | Debra Kay Fitzl | Specialist/Technologist | Lingle Hall 33, Carbondale, IL 62901 | 2006-03-24 |
| 1619937612 | Elizabeth Brown Feutz | Specialist/Technologist | Intercollegiate Athletics Lingle Hall Rm 118, Carbondale, IL 62901 | 2006-03-24 |
| 1144299454 | Heather Renee' Ward | Specialist/Technologist | Southern Illinois University-intercollegiate Athletics, Arena 33, Carbondale, IL 62901-6620 | 2006-03-17 |
| 1336117795 | Edward Brent Thompson | Specialist/Technologist | Intercollegiate Athletics, Siu Arena, Rm. 118, Southern Illinois University, Carbondale, IL 62901-6620 | 2006-03-10 |
| 1194714188 | Harry Wieland Schulz Jr. | Specialist/Technologist | 700 Skyline Dr, Carbondale, IL 62901-2404 | 2005-10-21 |
| 1649715434 | Brandon Richard Harthan | Specialist/Technologist | 1490 Douglas Dr, Lingle Hall 118, Mc 6620, Carbondale, IL 62901-4332 | 2017-01-03 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.