MR. BRIAN MICHAEL BRADLEY I (NPI# 1104474147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104474147 |
| Entity Type | Individual |
| Full Name | MR. BRIAN MICHAEL BRADLEY I |
| Practice Address |
340 Maple St Marlborough MA 01752-3200 |
| Mailing Address |
266 Sudbury St Marlborough MA 01752-1760 |
| Practice Telephone | 5082593835 |
| Mailing Telephone | 5086308974 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 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 |
| 1083611420 | Brian S Bradley | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2005-06-30 |
| Street Address |
340 MAPLE ST |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083849 | Julie F Ozaydin | Family Medicine | 340 Maple St, Suite 300, Marlborough, MA 01752-3200 | 2005-12-14 |
| 1184238198 | Jacob Mourtada | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2020-09-08 |
| 1609418920 | Jeanette Hall | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2019-10-09 |
| 1205310109 | Jessica L Craig | Counselor | 340 Maple St, Marlborough, MA 01752 | 2018-09-18 |
| 1821571571 | Alexandra Catherine Nagel | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2018-09-10 |
| 1417436080 | Simply Orthodontics of Marlborough, Pllc | Clinic/Center | 340 Maple St, Marlborough, MA 01752-3200 | 2018-08-14 |
| 1477032241 | Nadine Lucas | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2018-08-12 |
| 1790204873 | Erin Keeney | Counselor | 340 Maple St, Marlborough, MA 01752 | 2017-09-11 |
| 1568985679 | Lucy Hanbury | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2017-07-20 |
| 1508394826 | Melissa Duca | Counselor | 340 Maple St, Marlborough, MA 01752-3200 | 2017-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971871 | Heather Rose Dugan | Student in an Organized Health Care Education/Training Program | 45 Bronte Way Apt 21d, Marlborough, MA 01752-4757 | 2020-04-26 |
| 1902364649 | Joseph Patrick Marinacci | Student in an Organized Health Care Education/Training Program | 3 Kimberly Way, Marlborough, CT 06447-1571 | 2019-03-12 |
| 1609332717 | Kayley Erin Cote | Student in an Organized Health Care Education/Training Program | 44 Varley Rd, Marlborough, MA 01752-1174 | 2019-02-13 |
| 1003383506 | Bridget Babich-wydysh | Student in an Organized Health Care Education/Training Program | 164 Hosmer St Apt 9, Marlborough, MA 01752-2391 | 2018-11-01 |
| 1942731278 | Michelle Denise Marieni | Student in an Organized Health Care Education/Training Program | 99 Stacey Rd, Marlborough, MA 01752-1487 | 2017-03-27 |
| 1821427600 | M Boudreau | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2013-11-02 |
| 1487901195 | Bernadette Henry-lucien | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2012-08-13 |
| 1114252236 | Vanessa Jayne Leary | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
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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.