MRS. TERRY DENISE BRADLEY (NPI# 1033157847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033157847 |
| Entity Type | Individual |
| Full Name | MRS. TERRY DENISE BRADLEY |
| Credential | MS, LPC |
| Practice Address |
2431 W Main St Suite 603 Dothan AL 36301-1217 |
| Practice Telephone | 3346738869 |
| Practice Fax Number | 3346738851 |
| Mailing Telephone | 3346738869 |
| Mailing Fax Number | 3346738851 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1784 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF AL | 515-34689 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382589 | Terry Annice Bradley | Registered Nurse | 316 Beach 65th St, Far Rockaway, NY 11692-1425 | 2009-04-16 |
| 1275603599 | Terry Lee Bradley | Chiropractor | 1324 E Garrison Blvd, Gastonia, NC 28054 | 2006-11-08 |
| Street Address |
2431 W MAIN ST SUITE 603 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228388 | L Terry Pynes | Specialist | 2431 W Main St, Ste 501, Dothan, AL 36301 | 2005-07-12 |
| 1457898983 | Wiregrass Medical Associates 2 LLC | Internal Medicine | 2431 W Main St, Ste 1102, Dothan, AL 36301-1217 | 2017-01-23 |
| 1366987208 | Lynette M Elkins | Nurse Practitioner | 2431 W Main St, Suite 1102, Dothan, AL 36301-1217 | 2017-01-02 |
| 1881016491 | Miller Orthodontics, LLC | Dentist | 2431 W Main St, Suite 303, Dothan, AL 36301-1217 | 2014-01-16 |
| 1376800458 | Karina Jean Parker | Counselor | 2431 W Main St, Suite 603, Dothan, AL 36301-1217 | 2012-04-13 |
| 1205107240 | Barbara Diane Coffey | Counselor | 2431 W Main St, Suite 603, Dothan, AL 36301-1217 | 2012-01-23 |
| 1821383035 | Dothan Cosmetic Dentistry, PC | Dentist | 2431 W Main St, Suite 401, Dothan, AL 36301-1217 | 2011-06-15 |
| 1235438748 | Dermatology Associates of Bay County, P.a. | Dermatology | 2431 W Main St, Suite 501, Dothan, AL 36301-1217 | 2011-03-23 |
| 1356658868 | Maxwell Geoff Gunn | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2010-09-03 |
| 1295067643 | Patrick Scott Nelson | Physician Assistant | 2431 W Main St, 501, Dothan, AL 36301-1217 | 2010-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174159883 | John Nathaniel Mcanulty | Counselor | 100 Woodcreek Dr, Dothan, AL 36301-6204 | 2020-03-14 |
| 1942845573 | Jaleesa Mcmillan | Counselor | 2330 Montgomery Hwy, Dothan, AL 36303-3250 | 2019-11-07 |
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1083261325 | Krista Stephenson Smith | Counselor | 256 Honeysuckle Rd Ste 14, Dothan, AL 36305-1168 | 2019-08-21 |
| 1417502238 | Genesis Counseling Services, LLC | Counselor | 2246 Montgomery Hwy Ste 1, Dothan, AL 36303-3270 | 2019-08-08 |
| 1891353702 | Dothan Professional Counseling Services | Counselor | 310 Sprucepine Rd, Dothan, AL 36301-7268 | 2019-06-05 |
| 1366905648 | Kelley Marie Kearns | Counselor | 188 N Foster St Ste 101, Dothan, AL 36303-4568 | 2019-04-12 |
| 1750874160 | Jennifer Elisabeth Compton | Counselor | 2135 Denton Rd Ste 2, Dothan, AL 36303-2384 | 2018-06-11 |
| 1487161279 | Jeremiah Dalton | Counselor | 706 N Cherokee Ave, Dothan, AL 36303-3113 | 2018-01-03 |
| 1578084885 | Lisa Turner Rambo | Counselor | 3341 S Oates St Ste 118, Dothan, AL 36301-5889 | 2017-06-28 |
| Find all providers in DOTHAN | ||||
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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.