MR. GARY BRADFORD (NPI# 1124327267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124327267 |
| Entity Type | Individual |
| Full Name | MR. GARY BRADFORD |
| Practice Address |
928 N York St Suite 20 Muskogee OK 74403-3123 |
| Practice Telephone | 9189139109 |
| Practice Fax Number | 9189139112 |
| Mailing Telephone | 9189139109 |
| Mailing Fax Number | 9189139112 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 380025 | 05 |
| Street Address |
928 N YORK ST SUITE 20 |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609802693 | Jean C Lewis | Counselor | 928 N York St, Ste. 34, Muskogee, OK 74403-3123 | 2006-06-23 |
| 1831554278 | Hayley Allred | Speech-Language Pathologist | 928 N York St, Ste 20, Muskogee, OK 74403-3123 | 2015-12-30 |
| 1730449562 | Libby K Gann | Dietitian, Registered | 928 N York St, Suite 20, Muskogee, OK 74403-3123 | 2012-05-27 |
| 1003198771 | Tonya Bradford | Speech-Language Pathologist | 928 N York St, Suite 20, Muskogee, OK 74403-3123 | 2011-09-19 |
| 1902188568 | Healthcare Dining Solutions, Inc | Nutritionist | 928 N York St, Suite 20, Muskogee, OK 74403-3123 | 2011-09-09 |
| 1831499953 | Debra Lynne Hofer | Dietitian, Registered | 928 N York St, Ste 20, Muskogee, OK 74403-3123 | 2010-10-22 |
| 1720313604 | Tammy Warren | Counselor | 928 N York St, Suite 14, Muskogee, OK 74403-3123 | 2009-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457724593 | Lauren Brandl | Dietary Manager | 9701 Crooked Creek Ln, Moore, OK 73160-9188 | 2015-11-11 |
| 1306259445 | Healthcare Dining Solutions, Inc | Dietary Manager | 1500 E Downing St, Ste 102, Tahlequah, OK 74464-3234 | 2014-06-06 |
| 1821336934 | Healthcare Dining Solutions, Inc | Dietary Manager | 201 E 5th St, Suite C, Okmulgee, OK 74447-4000 | 2013-01-24 |
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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.