DR. JAMES E. BRADLEY (NPI# 1053313015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053313015 |
| Entity Type | Individual |
| Full Name | DR. JAMES E. BRADLEY |
| Credential | M.D. |
| Practice Address |
2016 S Main St Maryville MO 64468-2655 |
| Mailing Address |
114 E South Hills Dr Maryville MO 64468-2659 |
| Practice Telephone | 6605622525 |
| Practice Fax Number | 6605627993 |
| Mailing Telephone | 6605622525 |
| Mailing Fax Number | 6605627993 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 114129 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0995274 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194272401 | James E Bradley II | Physician Assistant | 4944 Oakway Dr, Saint Cloud, FL 34771-7974 | 2016-09-02 |
| 1124287396 | James C Bradley | Optometrist | Pacific Plaza, Bldg. 20845, Suite # 107, Box 555020, Camp Pendleton, CA 92055-5020 | 2008-06-03 |
| 1023275658 | James Clifton Bradley | Dentist | 207 Blackburn Ave, Bay Minette, AL 36507-4843 | 2008-05-21 |
| 1578768313 | James D Bradley | Dentist | 2650 North Ave, Ste 101, Grand Junction, CO 81501-6405 | 2007-06-20 |
| 1518186501 | James D Bradley | Psychologist | 30 Ne 106th St, Miami Shores, FL 33138-2035 | 2007-04-25 |
| 1144257825 | James Paul Bradley | Oral & Maxillofacial Surgery | 1991 Marcus Ave Ste 102, New Hyde Park, NY 11042-2062 | 2006-06-27 |
| 1770556441 | James J Bradley | Nurse Anesthetist, Certified Registered | 5516 Mountain Garland Dr, Colorado Springs, CO 80923 | 2006-02-10 |
| 1912990219 | James Glenn Bradley | Obstetrics & Gynecology | 5370 Hollister Ave, Suite B, Santa Barbara, CA 93111-2303 | 2005-08-23 |
| 1700433208 | James Bradley | Behavior Technician | 1817 Wellspring Ave Se, Rio Rancho, NM 87124-4956 | 2019-08-20 |
| 1194251744 | James Adam Bradley | Student in an Organized Health Care Education/Training Program | 500 S Preston St, Louisville, KY 40202-1702 | 2017-05-02 |
| Street Address |
2016 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970761 | Lorraine M Dodson | Specialist | 2016 S Main St, Maryville, MO 64468-2655 | 2005-05-23 |
| 1275183055 | Alison Sporleder | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-09-13 |
| 1982251856 | Paula Goodridge | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-08-24 |
| 1184189797 | Mosaic Medical Center - Maryville | Internal Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-02-07 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1265906663 | Mosaic Medical Center - Maryville | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1821562265 | Mosaic Medical Center - Maryville | Clinic/Center | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1194241349 | Angela Nicole Williamson | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-08-18 |
| 1225577372 | Estella Myrick | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043425481 | Surgical Specialists of Tennessee, Plc | Surgery | 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-05-11 |
| 1538283007 | Randal L Croshaw | Surgery | 200 Bmh Cancer Ctr, Maryville, TN 37804-5922 | 2007-03-19 |
| 1053452425 | Melissa Emlyn Trekell | Surgery | 1111 E. Lamar Alexander Parkway, Maryville, TN 37804-5130 | 2007-02-09 |
| 1740364173 | Sps Surgical Services, Sc | Surgery | 6810 State Route 162 Ste 10, Maryville, IL 62062-8501 | 2006-10-24 |
| 1053349084 | Budayr & Associates | Surgery | 405 Bmh Cancer Center, Maryville, TN 37804-5134 | 2006-06-29 |
| 1720055148 | Daniel Steven Johnson | Surgery | 6810 State Route 162 Ste 100, Maryville, IL 62062-8560 | 2006-03-03 |
| 1912908146 | Mahdi M Budayr | Surgery | 405 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2005-08-10 |
| 1043713886 | Mercy Clinic Surgical Specialists-illinois LLC | Surgery | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2018-03-16 |
| 1356762447 | Serenity Surgery | Surgery | 2227 Vadalabene Dr, Maryville, IL 62062-5823 | 2013-12-17 |
| 1790117596 | Hania B Bednarski Do Sc | Surgery | 2227 Vadalabene Dr, Suite 300, Maryville, IL 62062-5823 | 2013-08-02 |
| Find all providers in MARYVILLE | ||||
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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.