MR. BRADLEY JOSEPH WATSON (NPI# 1053604751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053604751 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY JOSEPH WATSON |
| Credential | P.A.-C |
| Practice Address |
3100 Cross Creek Pkwy # 200 Auburn Hills MI 48326-2774 |
| Practice Telephone | 2483778000 |
| Mailing Telephone | 2483778000 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5601005982 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763038 | Bradley James Watson | Chiropractor | 1934 14th St, Santa Monica, CA 90404-4605 | 2016-11-23 |
| 1326442856 | Bradley Watson | Specialist/Technologist | 799 N Hewitt Rd, Ypsilanti, MI 48197-1701 | 2014-10-13 |
| Street Address |
3100 CROSS CREEK PKWY # 200 |
| City | AUBURN HILLS |
| State | MI |
| Zip Code | 48326-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161755 | John R Olenyn | Orthopaedic Surgery | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2005-08-16 |
| 1053819524 | Kristen Marie Yourick | Physician Assistant | 3100 Cross Creek Pkwy, Auburn Hills, MI 48326-2774 | 2018-01-30 |
| 1356710677 | Timothy Houston | Physical Therapist | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2015-09-16 |
| 1649661489 | Shannon Marie Cook | Physical Therapist | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2774 | 2015-02-16 |
| 1891040895 | Asta V. Paskus | Physical Therapist | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2774 | 2012-07-17 |
| 1619234010 | Stephen Shane Tompa | Occupational Therapist | 3100 Cross Creek Pkwy, Ste. 150, Auburn Hills, MI 48326-2774 | 2012-04-23 |
| 1588968853 | Us Rehab Providers, Inc | Clinic/Center | 3100 Cross Creek Pkwy, Auburn Hills, MI 48326-2774 | 2010-12-30 |
| 1376846709 | Julie Anne Mulcahy | Physical Therapist | 3100 Cross Creek Pkwy, Ste 200, Auburn Hills, MI 48326-2776 | 2010-12-07 |
| 1841429925 | Ryan Michael Siwiec | Orthopaedic Surgery | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2009-07-09 |
| 1336378595 | Matthew Richard Prince | Orthopaedic Surgery | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256220 | Pdn Billing, LLC. | Home Health | 3165 Oxford West, Auburn Hills, MI 48326 | 2017-06-29 |
| 1326583238 | Doreen Lang | Contractor | 2384 E Walton Blvd, Auburn Hills, MI 48326 | 2016-12-31 |
| 1205282266 | Gomaa LLC | Pharmacy | 2191 South Blvd Ste 1b, Auburn Hills, MI 48326 | 2016-05-09 |
| 1346621430 | Georjeana Dillard-parker | Social Worker | 620 Sheffield Road, Auburn Hilla, MI 48326 | 2015-06-15 |
| 1205213188 | Alison Elizabeth Lindensmith | Social Worker | 2239 E Walton Blvd, Auburn Hills, MI 48326 | 2015-04-30 |
| 1679912141 | Deborah Lynn Mckeever | Registered Nurse | 165 S. Opdyke Rd., Lot 217, Auburn Hills, MI 48326 | 2013-06-18 |
| 1790033231 | Bridget Green | Counselor | 2387 Walton Blvd, Easter Seals, Auburn Hills, MI 48326 | 2012-08-15 |
| 1205106614 | Sally S. Barbat | Psychologist | 691 N Squirrel Rd Ste 115, Auburn Hills, MI 48326 | 2012-01-03 |
| 1124315403 | Emanuela A Popa | Pharmacist | 2564 N Squirrel Rd, Ap#162, Auburn Hills, MI 48326 | 2011-07-07 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| Find all providers in zip 48326 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| 1881822187 | Shea Mace | Physician Assistant | 6799 West Grand Blvd, Detroit, MI 48202 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
| City | AUBURN HILLS |
| Zip Code | 48326 |
Please comment or provide details below to improve the information on MR. BRADLEY JOSEPH WATSON.
| 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.