BRADLEY SMITH (NPI# 1245465038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245465038 |
| Entity Type | Individual |
| Full Name | BRADLEY SMITH |
| Credential | P.A. |
| Practice Address |
13 Industrial Park Rd Saco ME 04072-1804 |
| Mailing Address |
P.o. Box 626 Biddeford ME 04005-0626 |
| Practice Telephone | 2072838800 |
| Practice Fax Number | 2072869853 |
| Mailing Telephone | 2072829080 |
| Mailing Fax Number | 2072869853 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA249 | ME | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA-249 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1245465038 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851952790 | Bradley Colin Smith | Dentist | 1900 14th St Ste C, Plano, TX 75074-6426 | 2019-06-21 |
| 1164904017 | Bradley Levi Smith | Counselor | 303 Hermitage Rd, Pineville, LA 71360-2623 | 2018-09-06 |
| 1013495308 | Bradley Gene Smith | Speech-Language Pathologist | 3410 Worth St Ste 760, Dallas, TX 75246-2005 | 2018-07-30 |
| 1821449000 | Bradley Smith | Counselor | 8420 Fordham Rd, Apt 2, Los Angeles, CA 90045-2581 | 2016-06-28 |
| 1669837662 | Bradley R Smith | Specialist/Technologist | Berea College Cpo 2187, Berea, KY 40404-0001 | 2015-12-18 |
| 1497034995 | Bradley Michael Smith | Rehabilitation Counselor | 6209 Trail Lake Dr, Fort Worth, TX 76133-3405 | 2011-08-15 |
| 1164725610 | Bradley Dean Smith | Orthotist | 813 Carman Ave Unit A, Westbury, NY 11590-6447 | 2010-12-06 |
| 1306162151 | Bradley Howard Smith | Preventive Medicine | 340 Hulsa Rd, Naval Aerospace Medical Institute, Pensacola, FL 32508-1092 | 2010-04-19 |
| 1639387863 | Bradley M. Smith | Dentist | 401 Harding Way W, Galion, OH 44833-1611 | 2007-05-20 |
| 1902928047 | Bradley J Smith | Family Medicine | 400 Enterprise Dr Fl 2, Limerick, PA 19468-1224 | 2007-04-06 |
| Street Address |
13 INDUSTRIAL PARK RD |
| City | SACO |
| State | ME |
| Zip Code | 04072-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371684 | Maura Beverlin Price | Pediatrics | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-01-25 |
| 1386159077 | Rachael Bernice Pillar | Nurse Practitioner | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2017-12-05 |
| 1255869897 | Robert Cole Hurley | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2017-05-26 |
| 1447571864 | Catherine Gisele Boucher-cornelio | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-21 |
| 1073833703 | Anastasia R Norman | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-04 |
| 1528215506 | Andrea M Wright | Physician Assistant | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2008-08-21 |
| 1376659102 | Pamela W Travis | Nurse Practitioner | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-08-22 |
| 1205892858 | Leslie N Tripp | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-04-24 |
| 1255396628 | Alan Potyk | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-04-19 |
| 1033174255 | Mark H Rolerson | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891680 | Allison Charlton | Physician Assistant | 506 Main St, Saco, ME 04072-1530 | 2020-04-30 |
| 1588150783 | Ross Hanley | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-07-11 |
| 1477042406 | Tricia E Garrett | Physician Assistant | 655 Main St, Saco, ME 04072-1543 | 2018-05-04 |
| 1528215506 | Andrea M Wright | Physician Assistant | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2008-08-21 |
| 1194981860 | Essie Y. Mckinnon-leach | Physician Assistant | 31 Beach St, Saco, ME 04072-2810 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848472 | Meghan Sue Fullarton | Physician Assistant | 30 Tate Ln, Windham, ME 04062-4263 | 2020-07-14 |
| 1760009724 | Brenna Rasmussen | Physician Assistant | 88 Elmwood Rd, Auburn, ME 04210-6510 | 2020-06-25 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1528554805 | Kara Clukey | Physician Assistant | 5 Central Maine Xing, Gardiner, ME 04345-6320 | 2018-07-10 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
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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.