DR. BRADLEY J. PHILLIPS (NPI# 1104800143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104800143 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY J. PHILLIPS |
| Credential | M.D. |
| Practice Address |
450 Clarkson Ave Suite J Brooklyn NY 11203-2056 |
| Mailing Address |
450 Clarkson Ave Box 1262 Brooklyn NY 11203-2056 |
| Practice Telephone | 7182701714 |
| Practice Fax Number | 7182703233 |
| Mailing Telephone | 7182708867 |
| Mailing Fax Number | 7182701794 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 25MA06584600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 184083-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7384009 | 05 | |
| NY | 01278495 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009856 | Bradley Nicholas Phillips | Pharmacist | 400 Celebration Pl Ste 110, Celebration, FL 34747-4970 | 2018-07-16 |
| 1831339464 | Bradley Phillips | Pharmacist | 260 W 54th St, Apt 25b, New York, NY 10019-5539 | 2009-02-22 |
| 1245798180 | Bradley Phillips | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 | 2019-03-11 |
| 1235419219 | Bradley M Phillips | Pharmacist | 601 S County Farm Rd, T-0838, Wheaton, IL 60187-4529 | 2011-08-23 |
| 1649598020 | Bradley D Phillips | Physical Therapist | 1275 N Convent St, Suite 3, Bourbonnais, IL 60914-8210 | 2010-05-11 |
| 1053434498 | Bradley L Phillips | Dentist | 2018 Rock Spring Rd, Forest Hill, MD 21050-2631 | 2007-04-09 |
| 1659466449 | Bradley J Phillips | Surgery | 601 N 30th St, Suite 2803, Omaha, NE 68131-2128 | 2006-10-04 |
| Street Address |
450 CLARKSON AVE SUITE J |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888013 | David Landman | Internal Medicine | 450 Clarkson Ave, Brooklyn, NY 11203-2056 | 2005-06-01 |
| 1215537345 | Stephanie Galbert | Nurse Practitioner | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-10-28 |
| 1972118560 | Juveria Ansar Peshimam | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-10 |
| 1285248831 | Khawar Nawaz | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1871107458 | Sneha Naidu Gade | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-09-01 |
| 1063025641 | Vaibhaviben Solanki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1548873961 | Bhesh Raj Karki | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-25 |
| 1174136717 | Cyrilee Maud Thompson | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-24 |
| 1215548953 | Maximillian Anderson Weigelt | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-16 |
| 1417568106 | Kereisha Nicole Donegal | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2020-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1386120616 | Parkslope Eye Care, Inc | Ophthalmology | 334 9th St, Brooklyn, NY 11215-8129 | 2018-07-19 |
| 1700390606 | Isaac Reich Md Pllc | Ophthalmology | 154 Beaumont St, Brooklyn, NY 11235-4119 | 2017-11-30 |
| 1518408277 | Kira Manusis Md, Pllc | Ophthalmology | 215 Bay 32nd St, Brooklyn, NY 11214-5709 | 2017-03-14 |
| 1528515541 | Downtown Eyecare, LLC | Ophthalmology | 398 Bridge St, Brooklyn, NY 11201-5210 | 2016-09-07 |
| 1679943005 | 9th Street Vision Care, Inc | Ophthalmology | 332 9th Street, Brooklyn, NY 11215 | 2015-09-28 |
| 1104205780 | Brooklyn Opthalmology Pllc | Ophthalmology | 4014 Church Ave, Brooklyn, NY 11203-2917 | 2015-05-28 |
| 1558755959 | George F. Hyman, M.d. Pllc | Ophthalmology | 1530 Bedford Ave, Brooklyn, NY 11216-4117 | 2015-03-24 |
| 1801220256 | Brooklyn Eye Plastics Md Pllc | Ophthalmology | 115 Prospect Park W, Brooklyn, NY 11215-3710 | 2013-08-21 |
| Find all providers in BROOKLYN | ||||
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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.