BRADLEY D WIENER (NPI# 1033110895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033110895 |
| Entity Type | Individual |
| Full Name | BRADLEY D WIENER |
| Credential | M.D |
| Practice Address |
75 Crystal Run Rd Suite 206 Middletown NY 10941-7000 |
| Practice Telephone | 8456731080 |
| Practice Fax Number | 8456735320 |
| Mailing Telephone | 8456731080 |
| Mailing Fax Number | 8456735320 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
200402 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
75 CRYSTAL RUN RD SUITE 206 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336960 | Kristin N Koch | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2020-01-29 |
| 1316584766 | Maria Jaffari | Occupational Therapist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-12-04 |
| 1508401811 | Brenda Hope Kirschenbaum-gallardo | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-11-11 |
| 1366091837 | Laura Ritchings | Occupational Therapy Assistant | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-09-08 |
| 1841847431 | Darlene Waddell | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-08-20 |
| 1073078002 | Debra Wilson | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-02-04 |
| 1790143402 | Hudson Valley Pediatric Dental, Pllc | Dentist | 75 Crystal Run Rd, Suite 235, Middletown, NY 10941-7000 | 2016-02-09 |
| 1902147150 | Benjamin Gordon Schultz | Audiologist | 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 | 2013-03-13 |
| 1700125838 | Regional Orthopaedics & Pain Management,pllc | Physical Medicine & Rehabilitation | 75 Crystal Run Rd, Suite 206, Middletown, NY 10941-7000 | 2013-02-08 |
| 1568718369 | Katherine E Bloss | Registered Nurse | 75 Crystal Run Rd, Ste 135, Middletown, NY 10941-7009 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881650323 | James O. Maher IIi | Orthopaedic Surgery | 345 Valley Rd, Middletown, RI 02842-5236 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057347 | Viorika Chebotaru | Orthopaedic Surgery | 626 Sheepshead Bay Rd, Brooklyn, NY 11224-3602 | 2019-11-11 |
| 1609421122 | Mulchandani Medical Pllc | Orthopaedic Surgery | 139 Centre St Lbby Suite102, New York, NY 10013-4552 | 2019-08-02 |
| 1891258349 | Empire Ny Orthopedics PC | Orthopaedic Surgery | 22215 Northern Blvd Ste Lobbya, Bayside, NY 11361-3678 | 2019-04-11 |
| 1821566688 | Chelsea Rose Weir | Orthopaedic Surgery | 379 Oakwood Rd Ste C, Huntington Station, NY 11746-7203 | 2018-11-08 |
| 1578046421 | Djf Orthopedics and Sports Medicine | Orthopaedic Surgery | 165 W End Ave Apt 28p, New York, NY 10023-5516 | 2018-09-06 |
| 1992201222 | Scott Adam Weiss Md PC | Orthopaedic Surgery | 672 Harless Pl, West Hempstead, NY 11552-3504 | 2018-04-04 |
| 1467965095 | Melissa Pei-lih Mau | Orthopaedic Surgery | 2800 Marcus Ave Ste 102, New Hyde Park, NY 11042-1113 | 2017-11-06 |
| 1821476698 | Stephanie M Macdonald | Orthopaedic Surgery | 1672 Empire Blvd Ste 100, Webster, NY 14580-2199 | 2015-05-13 |
| 1710380118 | Stony Brook University | Orthopaedic Surgery | Toll Dr Bldg 39, Stony Brook, NY 11794-0001 | 2014-09-30 |
| 1083029623 | Michael J. Katz Md PC | Orthopaedic Surgery | 14653 Delaware Ave, Flushing, NY 11355-2182 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.