DR. BRADLEY DUANE SULLIVAN (NPI# 1235438029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235438029 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY DUANE SULLIVAN |
| Practice Address |
415 E Main St Kingwood WV 26537-1701 |
| Practice Telephone | 3043292212 |
| Mailing Telephone | 3043292212 |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2011-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0007283 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790762227 | Bradley Huse Sullivan | Obstetrics & Gynecology | 6400 Prospect, #598, Kansas City, MO 64132-4128 | 2005-12-27 |
| 1104257641 | Bradley Sullivan | Physical Therapist | 3555 Whipple Rd, Union City, CA 94587-1507 | 2013-12-10 |
| 1326476961 | Bradley Roy Sullivan | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2013-10-16 |
| 1538256300 | Bradley J. Sullivan | Chiropractor | 4955 Van Nuys Blvd, Suite 404, Sherman Oaks, CA 91403-1816 | 2006-10-05 |
| 1447350699 | Bradley J Sullivan | Pediatrics | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-25 |
| Street Address |
415 E MAIN ST |
| City | KINGWOOD |
| State | WV |
| Zip Code | 26537-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720504145 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 415 E Main St, Kingwood, WV 26537-1701 | 2017-08-17 |
| 1104379361 | Ryan Hovatter | Pharmacist | 415 E Main St, Kingwood, WV 26537-1701 | 2016-07-24 |
| 1780974840 | Michael A. Lowery | Pharmacist | 415 E Main St, Kingwood, WV 26537-1701 | 2011-04-11 |
| 1891093506 | Zachary Milan Metheny | Pharmacist | 415 E Main St, Kingwood, WV 26537-1701 | 2011-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702604 | Amanda Dawn Slaubaugh | Technician | 74 Alex Dr, Kingwood, WV 26537 | 2020-08-31 |
| 1306330345 | Kingwood Family Care, LLC | Clinic/Center | 17548 Veterans Memorial Highway, Suite D, Kingwood, WV 26537 | 2018-06-21 |
| 1336558089 | Nicholas Kyle | Physical Therapist | 421 Morgantown St., Kingwood, WV 26537 | 2014-08-07 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1083035133 | Carmen Sigley | Nurse Practitioner | 209 East Hight Str., Kingwood, WV 26537 | 2013-12-16 |
| 1386946002 | Molly Renee Dorian | Occupational Therapist | 300 Preston Drive, Kingwood, WV 26537 | 2010-12-01 |
| 1083830343 | Preston County Senior Citizens, Inc. | Home Health | 421 E. Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1730305152 | Preston County Senior Citizens, Inc. | Home Health | 421 East Main St., Kingwood, WV 26537 | 2007-04-17 |
| 1629133806 | Kendra L Barker | Nurse Practitioner | 1343 N. Preston Highway, Preston Healthcare Services, LLC., Kingwood, WV 26537 | 2006-12-27 |
| 1821181132 | Every Bodys Chiropractic Pllc | Chiropractor | 425 E Main Street, Suite 418, Kingwood, WV 26537 | 2006-10-02 |
| Find all providers in zip 26537 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070049 | Josy Mattamal | Pharmacist | 5434 Knoll Terrace Dr, Kingwood, TX 77339-1235 | 2016-01-06 |
| 1609252477 | Andrew Youssef | Pharmacist | 22999 Highway 59 N Ste 105, Kingwood, TX 77339-4412 | 2015-08-04 |
| 1447666896 | Alicia Suzanne Helmick | Pharmacist | 220 W. Main St, Kingwood Pharmacy, Kingwood, WV 26537 | 2014-07-07 |
| 1760697718 | Shelton Edward Mcbride | Pharmacist | 3710 Tree Manor Ln, Kingwood, TX 77345-1205 | 2007-05-13 |
| 1861619751 | Brian L Spiker | Pharmacist | 112 Spring Hill Dr, Kingwood, WV 26537-1046 | 2007-04-20 |
| 1174643639 | Kim Danine Lindemann | Pharmacist | 4222 Hermitage Hollow Ln, Kingwood, TX 77339-4636 | 2007-03-29 |
| 1790782001 | William F Springfield | Pharmacist | 2159 Little Cedar Dr, Suite 202, Kingwood, TX 77339-1714 | 2005-06-30 |
| 1144821430 | Amanda Okecha | Pharmacist | 2165 Northpark Dr, Kingwood, TX 77339-1746 | 2020-11-04 |
| 1841890324 | Megan Lynn Goodrich | Pharmacist | 100 Walmart Dr, Kingwood, WV 26537-1143 | 2020-10-26 |
| 1255947560 | Raymona Lynn Draper | Pharmacist | 2165 Northpark Dr, Kingwood, TX 77339-1746 | 2020-09-22 |
| Find all providers in KINGWOOD | ||||
Please comment or provide details below to improve the information on DR. BRADLEY DUANE SULLIVAN.
| 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.