BRIAN S BRADLEY (NPI# 1083611420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083611420 |
| Entity Type | Individual |
| Full Name | BRIAN S BRADLEY |
| Credential | M.D. |
| Practice Address |
2142 N Cove Blvd Toledo OH 43606-3895 |
| Mailing Address |
Po Box 12498 Toledo OH 43606-0098 |
| Practice Telephone | 4192914225 |
| Practice Fax Number | 4194796193 |
| Mailing Telephone | 4192912237 |
| Mailing Fax Number | 4194796193 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
35-64786 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BLUE CROSS | 000000129749 | 01 |
| OH | 0913499 | 05 | |
| OH | AETNA | 2031651 | 01 |
| OH | UNITED HEALTH CARE | 47-00071 | 01 |
| OH | PARAMOUNT | 10256 | 01 |
| MI | 2922614 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1104474147 | Brian Michael Bradley I | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2019-09-03 |
| 1184023475 | Brian Bradley | Licensed Practical Nurse | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2014-08-22 |
| 1619384815 | Brian David Bradley | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-07-20 |
| 1124347935 | Brian Sean Bradley | Physical Therapy Assistant | 700 Colorado Blvd, Ste 318, Denver, CO 80206-4084 | 2010-05-19 |
| 1265760029 | Brian Michael Bradley | Specialist/Technologist | 745 Orienta Ave, Suite 1015, Altamonte Springs, FL 32701-5619 | 2009-12-05 |
| 1740347608 | Brian William Bradley | Psychologist | 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | 2007-01-02 |
| 1063590354 | Brian William Bradley | Physical Therapist | 1050 Old Des Peres Rd, Suite 40, Saint Louis, MO 63131-1873 | 2006-11-02 |
| 1881610616 | Brian M. Bradley | Pain Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711 | 2006-07-14 |
| 1356383269 | Brian A Bradley | Urology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-06-12 |
| Street Address |
2142 N COVE BLVD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741054 | Michael Eugene Ruhlen | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2005-06-27 |
| 1972110104 | Atria Casey | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-10-01 |
| 1144837626 | Emily Buckner | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-09-28 |
| 1376158717 | Lindsay Marie Roose | Advanced Practice Midwife | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-09-12 |
| 1679185359 | Rand Raed Fuad Elsharaiha | Student in an Organized Health Care Education/Training Program | 2142 N Cove Blvd, Toledo, OH 43606-3896 | 2020-08-23 |
| 1760007306 | Christine Pfeiffer | Radiologic Technologist | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-06-09 |
| 1568085488 | Travis Trayer | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-05-27 |
| 1225651029 | Stephanie Dawson | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-05-27 |
| 1154942100 | Sarah Mainzinger | Registered Nurse | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-04-30 |
| 1033730114 | Deborah Lynn Nelsen | Advanced Practice Midwife | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407148828 | Holly Denise Brine | Pediatrics | Toledo Children's Hospital, 2142 North Cove Blvd, 3rd Floor, Toledo, OH 43606 | 2011-05-03 |
| 1659378214 | Barbara Anne Chappell | Pediatrics | 2142 North Cove Blvd, 3rd Floor Main Hospital, Toledo, OH 43606-0385 | 2005-06-28 |
| 1174526206 | Minda Te | Pediatrics | 2213 Cherry St., Toledo, OH 43608-2691 | 2005-05-23 |
| 1447796776 | Northwest Ohio Neonatal Associates, Inc. | Pediatrics | 2142 N Cove Blvd, 3rd Floor Neonatology Office, Toledo, OH 43606-3895 | 2017-01-10 |
| 1538473616 | Mohammed Ashraf Puthiyachirakkal | Pediatrics | 2213 Cherry St, Toledo, OH 43608-2603 | 2010-08-02 |
| 1871766014 | Patrick Nicholas Ethington | Pediatrics | 2142 North Cove Blvd, Neonatology Office, Toledo, OH 43606-0385 | 2008-04-09 |
| 1649475344 | Jo-ann M Smith | Pediatrics | 2213 Cherry St, Toledo, OH 43608-2603 | 2007-06-20 |
| 1104927599 | Kristie Hornick | Pediatrics | 2142 N Cove Blvd, The Toledo Childrens Hospital, Toledo, OH 43606 | 2006-09-26 |
| 1003869017 | Sandra B Cadichon | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2006-05-19 |
| 1508855693 | Gagandeep Brar | Pediatrics | 2213 Cherry St, Toledo, OH 43608-2603 | 2005-10-20 |
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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.