STEVEN ALLEN BRADSHER (NPI# 1164459707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164459707 |
Entity Type | Individual |
Full Name | STEVEN ALLEN BRADSHER |
Credential | IDC |
Practice Address |
3350 Narrows View Ln Ne # 202 Bremerton WA 98310-6605 |
Mailing Address |
Naval Undersea Medical Institute P.o. Box 159 Groton CT 06349-5159 |
Practice Telephone | 3606214268 |
Mailing Telephone | 3606214268 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
Street Address |
3350 NARROWS VIEW LN NE # 202 |
City | BREMERTON |
State | WA |
Zip Code | 98310-6605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333613 | Miss Mary Community Development | Voluntary or Charitable | 1630 Trenton Avenue Apt 10, Bremerton, WA 98310 | 2019-12-11 |
1629636055 | Puget Sound Work Injury Clinic, LLC | Clinic/Center | 812 Cherry Ct, Bremerton, WA 98310 | 2019-05-31 |
1538672530 | Rachel E Mittelstaedt Parsons | Dietitian, Registered | 3059 Viewcrest Dr Ne, Bremerton, WA 98310 | 2017-11-13 |
1356888937 | Sarah Hike | Community Health Worker | 900 Sheridan, Bremerton, WA 98310 | 2017-01-20 |
1073941142 | Hana Singer | Physical Therapy Assistant | 3600 Forest Dr Ne, Bremerton, WA 98310 | 2013-10-28 |
1447508122 | Kevin Lee Hathaway | Mechanotherapist | 3308 Veska Avenue, Bremerton, WA 98310 | 2012-08-28 |
1003163007 | James Hyun Soo Lee | Surgery | Cvn 76 Uss Ronald Reagan, Bremerton, WA 98310 | 2012-08-08 |
1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
1740560572 | Lauren P Foresman | Physician Assistant | 2709 Hemlock Street, Bremerton, WA 98310 | 2011-08-24 |
1538390059 | Patricia L Rushon | Speech-Language Pathologist | 560 Lebo Blvd., Bremerton, WA 98310 | 2009-07-31 |
Find all providers in zip 98310 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598027237 | Epafara Jeffrey Vaitautolu | Military Health Care Provider | 30 Wencker Way Apt A, Bremerton, WA 98312-1861 | 2012-06-08 |
1083944409 | Joseph Enderton | Military Health Care Provider | 3864 Chum Ln Nw, Bremerton, WA 98312-9443 | 2010-01-07 |
1982934303 | Gordon John Bergman | Military Health Care Provider | 2821 Montwood Ln, Bremerton, WA 98312-1936 | 2010-01-07 |
1568633113 | Stephen Zachary Taylor | Military Health Care Provider | 62c Haven Rd, Bremerton, WA 98312 | 2008-03-21 |
1487850137 | Brian Albert Nielson | Military Health Care Provider | 1662 Northlake Way Nw, Bremerton, WA 98312-1716 | 2007-06-21 |
1013123405 | James Jon Ruane | Military Health Care Provider | 6935 Liverpool Ct Ne, Bremerton, WA 98311-9646 | 2007-05-15 |
1548289069 | Michael Nord | Military Health Care Provider | 7481 Bridlevale Blvd Nw, Bremerton, WA 98311-8987 | 2006-07-18 |
1295762862 | Shane Ray Reece | Military Health Care Provider | 4068 Redwing Trail Nw, Bremerton, WA 98312 | 2006-06-27 |
1669429213 | Alan D Garrigus | Military Health Care Provider | Branch Health Clinic Psns, 1400 Farragu Ave, Bremerton, WA 98314-0001 | 2006-05-28 |
1770976094 | Janne Lynne Wellborn | Military Health Care Provider | 1 Boone Rd, Bremerton, WA 98312 | 2015-03-11 |
Find all providers in BREMERTON |
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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.