KATHLEEN A BRADLEY (NPI# 1073694535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073694535 |
| Entity Type | Individual |
| Full Name | KATHLEEN A BRADLEY |
| Credential | MD |
| Practice Address |
239 Hurffville Crosskeys Rd Ste 160 Sewell NJ 08080 |
| Mailing Address |
2000 Crawford Pl Ste 200 Mount Laurel NJ 08054-3954 |
| Practice Telephone | 8563418200 |
| Practice Fax Number | 8563418215 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA06165200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7134401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 Carnie Blvd, Suite 3, Voorhees, NJ 080434521 | 8567417100 | 8564242629 |
| 1001 Route 73 N, Marlton, NJ 080534524 | 8563557120 | 8563557121 |
| 315 Route 70 E, Cherry Hill, NJ 080342408 | 8563756240 | 8563756241 |
| 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 081083642 | 8569465180 | 8569465181 |
| 128 Route 70 Ste 1, Medford, NJ 080552371 | 6093670900 | 6093670901 |
| 2225 E Evesham Rd Ste 101, Voorhees, NJ 080431557 | 8567954330 | 8563253704 |
| 401 Young Ave Ste 180, Moorestown, NJ 080573139 | 8562918600 | 8562918610 |
| 555 High St Ste 16a, Mount Holly, NJ 080601084 | 6094445610 | 6094445611 |
| 158 Route 73 Ste B, Voorhees, NJ 080439539 | 8562477230 | 8562477231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1104084433 | Kathleen Patricia Bradley | Licensed Practical Nurse | 1030 Oregon Rd, Cortlandt Manor, NY 10567-1122 | 2008-05-22 |
| 1982789517 | Kathleen Elizabeth Bradley | Obstetrics & Gynecology | 32129 Lindero Cyn Rd #106, Westlake Village, CA 91361 | 2006-10-25 |
| 1306853734 | Kathleen K Bradley | Dentist | 6443 W 10th St Ste 204, Indianapolis, IN 46214-6502 | 2006-08-01 |
| 1851373989 | Kathleen Marie Bradley | Physical Therapist | 1045 Nw Bond St Ste 203, Bend, OR 97701-2064 | 2005-11-15 |
| 1417584665 | Kathleen Bradley | Speech-Language Pathologist | 508 Autumn Springs Ct Ste 1a, Franklin, TN 37067-8274 | 2020-03-26 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1235550310 | Kathleen R Bradley | Physician Assistant | 33 Sewall St, Portland, ME 04102-2603 | 2013-12-17 |
| 1376690776 | Kathleen Louise Bradley | Licensed Psychiatric Technician | 991 Parallel Dr, Lakeport, CA 95453 | 2007-01-05 |
| Street Address |
239 HURFFVILLE CROSSKEYS RD STE 160 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386008563 | Avinaj John | Student in an Organized Health Care Education/Training Program | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080 | 2016-04-13 |
| 1144685389 | Lan Santos | Registered Nurse | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005 | 2015-12-15 |
| 1013054725 | David C Hon | Surgery | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629509435 | Suzanna Hosein | Family Medicine | 570 Egg Harbor Rd Ste C2, Sewell, NJ 08080-2359 | 2017-03-23 |
| 1033597786 | Robert Venuti Consulting, LLC | Family Medicine | 26 Clearbrook Ln, Sewell, NJ 08080-3320 | 2015-05-14 |
| 1639583990 | Craig Bober | Family Medicine | 660 Woodbury Glassboro Rd Ste 26, Sewell, NJ 08080-3738 | 2014-06-16 |
| 1811246515 | Lourdes Medical Associates, Pa | Family Medicine | 570 Egg Harbor Rd Ste B5, Sewell, NJ 08080-2359 | 2012-09-10 |
| 1568549335 | Joseph Cavallaro IIi | Family Medicine | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080 | 2006-11-01 |
| 1831270610 | Diana Lorraine Saddel | Family Medicine | 543 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2006-10-18 |
| 1508965310 | Donald Howard Stock | Family Medicine | 211 Countyhouse Road, Sewell, NJ 08080 | 2006-09-21 |
| 1649296294 | Kennedy University Hospital, Inc | Family Medicine | 445 Hurffville Crosskeys Rd Bldg A, Sewell, NJ 08080-2337 | 2006-07-15 |
| 1932144847 | Miles A Brumberg | Family Medicine | 601 Hurffville Crosskeys Rd, Sewell, NJ 08080-1748 | 2006-06-17 |
| 1790724961 | Atrium Two Family Practice Associates, P.a. | Family Medicine | Atrium Two, Suite 2, 468 Hurffville-cross Keys Rd., Sewell, NJ 08080 | 2006-06-05 |
| Find all providers in SEWELL | ||||
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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.