MITRA H BRIDWELL (NPI# 1023247145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023247145 |
Entity Type | Individual |
Full Name | MITRA H BRIDWELL |
Credential | R, MR |
Practice Address |
1201 13th Ave Se Decatur AL 35601-4300 |
Mailing Address |
107 Marysa Dr Huntsville AL 35811-8770 |
Practice Telephone | 2563507779 |
Practice Fax Number | 2563502272 |
Mailing Telephone | 2566832171 |
Enumeration Date | 2009-07-10 |
Last Update Date | 2009-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
290989 | AL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1201 13TH AVE SE |
City | DECATUR |
State | AL |
Zip Code | 35601-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003831900 | G Dwayne Gann | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
1063585727 | Amanda L Burke | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-11-17 |
1053480178 | Randal Craig Humphrey | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-11-06 |
1316962319 | James Mathew Dixon | Radiologic Technologist | 1201 13th Ave Se, Decatur, AL 35601-4300 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
Find all providers in zip 35601 |
Taxonomy Code | 2471M1202X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Magnetic Resonance Imaging |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376984658 | Lloyd George Collins Jr. | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2013-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518464684 | Heather Coleman | Radiologic Technologist | 407 Enclave Dr, Calera, AL 35040-3710 | 2018-04-06 |
1477699676 | Dianna Marie Goss | Radiologic Technologist | 3502 Rainbow Dr # B, Rainbow City, AL 35906-6310 | 2007-01-29 |
1588719512 | Anita H Whittemore | Radiologic Technologist | 3502b Rainbow Dr, Rainbow City, AL 35906-6310 | 2007-01-23 |
Please comment or provide details below to improve the information on MITRA H BRIDWELL.
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.