BRADLEY WAYNE COLEMAN (NPI# 1124287693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124287693 |
| Entity Type | Individual |
| Full Name | BRADLEY WAYNE COLEMAN |
| Credential | D.D.S. |
| Practice Address |
26 Green Valley Dr Mountain Home AR 72653-8102 |
| Practice Telephone | 8704256911 |
| Practice Fax Number | 8704244891 |
| Mailing Telephone | 8704256911 |
| Mailing Fax Number | 8704244891 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3663 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1639475486 | Bradley Coleman | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2011-01-26 |
| Street Address |
26 GREEN VALLEY DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982712139 | Robert E. Nosari, D.d.s., P.a. | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-08-28 |
| 1043396823 | Eric Kamaal Mathis | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-10-27 |
| 1437244589 | Bob Mathis Dds Pa | Dentist | 26 Green Valley Dr, Bob Mathis Dds Pa, Mountain Home, AR 72653-8102 | 2006-10-04 |
| 1386756591 | Bobby Joe Mathis | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679864094 | John E. Goodrich, D.d.s. | Dentist | 450 Airbase Rd, Mountain Home, ID 83647-3483 | 2011-04-20 |
| 1184883654 | Bradley Wayne Coleman,d.d.s. | Dentist | 330 Highway 5 North, Suite #10, Mountain Home, AR 72653 | 2008-06-09 |
| 1164541348 | Irvin Matthew Deatley | Dentist | 320 E 7th St, Mountain Home, AR 72653-4416 | 2007-03-28 |
| 1073601969 | Stephen Douglas Vester | Dentist | 250 Bucher Drive, Mountain Home, AR 72653-3400 | 2006-10-10 |
| 1407963762 | Derrick V Johnson | Dentist | 114 Dyer Street, Mountain Home, AR 72653 | 2006-08-24 |
| 1346251105 | John Earl Goodrich | Dentist | 450 W 6th S, Box 660, Mountain Home, ID 83647-3483 | 2006-08-10 |
| 1114946811 | Randy S. Simpson | Dentist | 137 S College St, Mountain Home, AR 72653-3940 | 2006-07-19 |
| 1982089678 | Glenns Ferry Health Center | Dentist | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2015-07-23 |
| 1124400890 | Tyler Mark Whiting | Dentist | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2015-06-18 |
| 1932429156 | Kimberly Petkovich Vaglio | Dentist | 500 Hospital Dr, Mountain Home, AR 72653-2913 | 2010-06-10 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on BRADLEY WAYNE COLEMAN.
| 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.