BRADLEY COUNTY MEDICAL CENTER (NPI# 1154674133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154674133 |
| Entity Type | Organization |
| Organization Name | BRADLEY COUNTY MEDICAL CENTER |
| Other Organization Name | BRADLEY COUNTY MEDICAL CENTER SURGERY CLINIC |
| Practice Address |
1012 E Church St Suite B Warren AR 71671-3509 |
| Practice Telephone | 8702263731 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | WILLIAM BRANDON GORMAN (CFO) |
| Authorized Official Telephone | 8702264301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bradley County Medical Center Surgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588917736 | Bradley County Medical Center | Clinic/Center | 304 E Central St, Warren, AR 71671-3452 | 2012-10-24 |
| 1912219643 | Bradley County Medical Center | Nurse Anesthetist, Certified Registered | 404 S Bradley St, Warren, AR 71671-3459 | 2010-07-10 |
| 1679691778 | Bradley County Medical Center | General Acute Care Hospital | 404 S Bradley St, Warren, AR 71671-3459 | 2007-03-27 |
| 1194843730 | Bradley County Medical Center | Nurse Anesthetist, Certified Registered | 404 S Bradley St, Warren, AR 71671-3459 | 2007-03-26 |
| 1245357912 | Bradley County Medical Center | Psychiatric Unit | 404 S Bradley St, Warren, AR 71671-3459 | 2007-03-26 |
| 1972620649 | Bradley County Medical Center | General Acute Care Hospital | 404 S Bradley St, Warren, AR 71671-3459 | 2007-03-26 |
| 1861519548 | Bradley County Medical Center | Medicare Defined Swing Bed Unit | 404 S Bradley St, Warren, AR 71671-3459 | 2007-03-26 |
| 1184750507 | Bradley County Medical Center | Home Health | 204 Bragg St, Warren, AR 71671-2500 | 2007-02-27 |
| 1194741611 | Bradley County Medical Center | General Acute Care Hospital | 404 S Bradley St, Warren, AR 71671-3459 | 2006-07-15 |
| Street Address |
1012 E CHURCH ST SUITE B |
| City | WARREN |
| State | AR |
| Zip Code | 71671-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447226253 | Kerry Pennington, Pa | Family Medicine | 1012 E Church St, Sutie A, Warren, AR 71671-3509 | 2006-02-23 |
| 1639513609 | Tammy S Green | Nurse Practitioner | 1012 E Church St, Warren, AR 71671-3509 | 2013-04-22 |
| 1508153974 | Arkansas Health Group | Family Medicine | 1012 E Church St, Suite A, Warren, AR 71671-3509 | 2011-07-06 |
| 1134215288 | Heath A Reep | Nurse Practitioner | 1012 E Church St, Suite C, Warren, AR 71671-3509 | 2006-10-05 |
| 1902910516 | Kenneth W Purvis | Family Medicine | 1012 E Church St, Suite B, Warren, AR 71671-3509 | 2006-08-19 |
| 1003862251 | Wharton Clinic, Pa | Family Medicine | 1012 E Church St, Suite C, Warren, AR 71671-3509 | 2006-05-26 |
| 1225084577 | Joe H Wharton | Family Medicine | 1012 E Church St, Suite C, Warren, AR 71671-3509 | 2006-05-26 |
| 1013983873 | Kerry Franklin Pennington | Family Medicine | 1012 E Church St, Suite A, Warren, AR 71671-3509 | 2006-02-23 |
| 1285600049 | Karen J. Richardson | Nurse Practitioner | 1012 E Church St, Suite A, Warren, AR 71671-3509 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1558602003 | Kelley M Hollingsworth | Licensed Practical Nurse | 1404 East Church Street, Warren, AR 71671 | 2013-03-08 |
| 1245516228 | Lauren Lynch | Pharmacist | 507 W Pine, Warren, AR 71671 | 2011-10-22 |
| 1114237062 | Gary Maskell | Chiropractor | 210 East Shields Street, Warren, AR 71671 | 2010-10-13 |
| 1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
| 1104953629 | Kathryn Kelly Cash | Speech-Language Pathologist | 206 Bragg St., Warren, AR 71671 | 2007-02-28 |
| 1477628352 | University of Arkansas for Medical Sciences | Pediatrics | 222 E Central St, Warren, AR 71671 | 2006-11-23 |
| 1649383514 | Karen Walker | Social Worker | 1404 E Church, Warren, AR 71671 | 2006-08-16 |
| 1699705178 | Rosemary Bell | Licensed Practical Nurse | 1404 E Church St, Warren, AR 71671 | 2006-07-03 |
| 1992348551 | Charles C Gibson | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-10-25 |
| Find all providers in zip 71671 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598151516 | Naomi Casement Lmsw, Caadc, LLC | Clinic/Center | 26354 Wexford Dr, Warren, MI 48091-3991 | 2015-04-07 |
| 1588917736 | Bradley County Medical Center | Clinic/Center | 304 E Central St, Warren, AR 71671-3452 | 2012-10-24 |
| 1841569902 | Dr Gina Reghetti Do PC Inc | Clinic/Center | The 110 Building, 110 Edward Street, Nw, Warren, OH 44483-1118 | 2011-12-19 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1477745495 | American Current Care of Michigan PC | Clinic/Center | 11569 E 12 Mile Rd, Warren, MI 48093-2645 | 2007-08-14 |
| 1225238397 | Viviani Spinal Rehabilitation | Clinic/Center | 25308 Mound Rd, Warren, MI 48091-3858 | 2007-07-18 |
| 1801808449 | Wsb Rehabilitation Services, Inc | Clinic/Center | 4329 Mahoning Ave Nw, Warren, OH 44483-1974 | 2006-08-12 |
| 1073516357 | Warren Community Hospital, Inc. | Clinic/Center | 300 W Good Samaritan Dr, Warren, MN 56762-1412 | 2005-05-31 |
| 1477109528 | Premier Medical Movement Management Company LLC | Clinic/Center | 26000 Hoover Rd, Warren, MI 48089-1167 | 2019-08-14 |
| 1366858102 | Logan Chiropractic Center | Clinic/Center | 27104 Dequindre Rd, Warren, MI 48092-3537 | 2014-07-01 |
| Find all providers in WARREN | ||||
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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.