MR. BRADLEY MICHAEL FARRELL (NPI# 1093957672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093957672 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY MICHAEL FARRELL |
| Credential | MS, LAT, ATC |
| Practice Address |
1099 E. Young St. Rolesville High School Rolesville NC 27571-0001 |
| Practice Telephone | 9195546303 |
| Practice Fax Number | 9195546308 |
| Mailing Telephone | 9195546303 |
| Mailing Fax Number | 9195546308 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2013-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT505 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325107 | Bradley Farrell | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-05-07 |
| Street Address |
1099 E. YOUNG ST. ROLESVILLE HIGH SCHOOL |
| City | ROLESVILLE |
| State | NC |
| Zip Code | 27571-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730381 | One Way Transportation Services LLC | Non-emergency Medical Transport (VAN) | 1076 Evening Shade Avenue, Rolesville, NC 27571 | 2019-10-07 |
| 1710231790 | Florence Bose Ademola | Social Worker | 400 Froyle Ct, Rolesville, NC 27571 | 2012-10-30 |
| 1447550074 | Hong Thi Kim Huynh | Pharmacist | 411-c South Main Street, Cvs/pharmacy, Rolesville, NC 27571 | 2010-10-29 |
| 1447485396 | Lift Day Activity Center | PACE Provider Organization | 701 E Young Street, Rolesville, NC 27571 | 2009-05-21 |
| 1144393372 | Amy H See Dds Pa | Dentist | 108 Southtown Circle, Rolesville, NC 27571 | 2006-11-16 |
| 1124136874 | North Wake Eye Care, Dr. Stephen J. Merckle O.d., P.a. | Optometrist | 220 Southtown Circle, Rolesville, NC 27571 | 2006-08-25 |
| 1891717948 | David M Dickman | Ophthalmology | 310 S. Main Street, Rolesville, NC 27571 | 2006-07-24 |
| 1124281084 | Grant&joyner Dds Pa | Dentist | 6250 Rogers Rd, Rolesville, NC 27571 | 2008-07-09 |
| 1487671970 | Osborne Chiropractic Clinic Ll Pa | Chiropractor | 258 Southtown Circle, Rolesville, NC 27571 | 2006-07-17 |
| 1902325988 | Kristi Michelle French | Counselor | 625 Redford Pl Dr, Rolesville, NC 27571-0018 | 2017-09-12 |
| Find all providers in zip 27571 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981619 | Lindsey Tavenner Honkomp | Specialist/Technologist | 624 Cresstar Dr, Rolesville, NC 27571-9496 | 2019-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617180 | Valerie Downing | Specialist/Technologist | 205 N Knoll Rd, Southern Pines, NC 28387-2936 | 2020-10-20 |
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1306444278 | Tania Michelle Wilcox | Specialist/Technologist | 702 Potenza Dr Apt A, Charlotte, NC 28262-4601 | 2020-10-13 |
| 1992302772 | Emily Elizabeth Macadam | Specialist/Technologist | 115 Blue Rd, Pinehurst, NC 28374-9125 | 2020-10-05 |
| 1407453640 | Asal Rahbar Lenz | Specialist/Technologist | 5140 Nw Cabarrus Dr, Concord, NC 28027-7624 | 2020-10-01 |
| 1003423880 | Amber Simerly Magliocca | Specialist/Technologist | 410 New Bridge St Ste 7b, Jacksonville, NC 28540-4759 | 2020-09-25 |
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | ROLESVILLE |
| Zip Code | 27571 |
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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.