BRADLEY BRIAN HUBBARD (NPI# 1083660245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083660245 |
| Entity Type | Individual |
| Full Name | BRADLEY BRIAN HUBBARD |
| Credential | MD |
| Practice Address |
930 Sw Abbey St Newport OR 97365-4820 |
| Mailing Address |
505 S 336th St Suite 600 Federal Way WA 98003-5947 |
| Practice Telephone | 5415741818 |
| Practice Fax Number | 5415741831 |
| Mailing Telephone | 2538386180 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD29012 | OR | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 27797 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8147597 | 05 | |
| WA | LIWA | 0217366 | 01 |
| WA | BSWA | 5088HU | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911067 | Bradley Hubbard | Chiropractor | 9412 E Hwy 71 Unit B, Spicewood, TX 78669-2532 | 2017-09-19 |
| 1548482243 | Bradley O Hubbard | Chiropractor | 1270 Springbrook Rd, Ste A, Walnut Creek, CA 94597-3971 | 2007-05-03 |
| 1881663367 | Bradley L Hubbard | Specialist | 5325 Elliott Drive, Ypsilanti, MI 48197 | 2006-03-16 |
| 1124119854 | Bradley A Hubbard | Surgery | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2006-09-27 |
| Street Address |
930 SW ABBEY ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818663 | Donald W Stoddard | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2005-11-18 |
| 1568091296 | Lauren Morrison Burns | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2020-04-04 |
| 1669013561 | Douglas Edward Witzke | Pharmacist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2019-10-01 |
| 1417459108 | Michelle Cowles | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2018-03-08 |
| 1982106621 | Nayla Johnson | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-03-07 |
| 1124527791 | Nicole Jolin | Pharmacist | 930 Sw Abbey St, Newport, OR 97365 | 2018-02-08 |
| 1013449966 | Debra Pankiewicz | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-30 |
| 1760923015 | Joshua Estep | Internal Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-19 |
| 1295275667 | Robert Bennett | Physical Therapist | 930 Sw Abbey St, Newport, OR 97365-4820 | 2017-03-03 |
| 1295279404 | Shannon Denise Brecik | Nurse Practitioner | 930 Sw Abbey St, Newport, OR 97365-4820 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393902 | Ashley W Forsyth | Emergency Medicine | 1211 Sw Bay St, Unit B, Newport, OR 97365-4843 | 2006-06-11 |
| 1093782963 | Constantino Diaz Miranda | Emergency Medicine | 435 2nd Street, Newport, TN 37821-3703 | 2006-03-01 |
| 1801268230 | Pend Oreille River Emergency Physicians Pllc | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2015-10-26 |
| 1821478611 | Cody Conard | Emergency Medicine | 1205 Mclain St, Newport, AR 72112-3533 | 2015-06-05 |
| 1477961308 | Audra Luz Kathleena Wisham | Emergency Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2014-07-23 |
| 1063823375 | Aaron Reinke | Emergency Medicine | 714 W Pine St, Newport, WA 99156 | 2014-05-09 |
| 1518387984 | Curtis Gill | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2014-04-23 |
| 1144648494 | David Pinckney | Emergency Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2014-04-03 |
| 1093137812 | Summit Medical Group, Inc. | Emergency Medicine | 1400 Grand Avenue, Newport, KY 41071-2570 | 2014-01-14 |
| 1285071274 | Nathanial Clifford Lilya | Emergency Medicine | 714 W Pine St, Newport, WA 99156 | 2013-05-30 |
| Find all providers in NEWPORT | ||||
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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.