DR. RANDALL L BRADDOM (NPI# 1255302360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255302360 |
| Entity Type | Individual |
| Full Name | DR. RANDALL L BRADDOM |
| Credential | M.D. |
| Practice Address |
1093 Golden Grove Dr The Villages FL 32162-4023 |
| Practice Telephone | 9086017036 |
| Practice Fax Number | 3525614512 |
| Mailing Telephone | 9086017036 |
| Mailing Fax Number | 3525614512 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 25MA02637400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 9074201 | 05 |
| Street Address |
1093 GOLDEN GROVE DR |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32162-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831700939 | Lana Nesheiwat | Pharmacist | 2235 Parr Drive, Lady Lake, FL 32162 | 2020-08-12 |
| 1619591393 | Advanced Periodontics & Implant Care, LLC | Dentist | 1950 Laurel Manor Drive #184, The Villages, FL 32162 | 2020-05-29 |
| 1639719081 | Retirement Five, LLC | Skilled Nursing Facility | 16605 Se 74th Souiliere Ave, The Villages, FL 32162 | 2020-01-14 |
| 1184263261 | Eric William Allen | Pharmacist | Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 | 2020-01-06 |
| 1740828391 | Tara Maria Jennings Irwin | Physical Therapy Assistant | 11962 Cr 101 #104, The Villages, FL 32162 | 2019-12-13 |
| 1851819254 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 310 Longview Ave, Lady Lake, FL 32162 | 2017-09-06 |
| 1033642327 | Ben Miller | Specialist/Technologist | 251 Buffalo Trl, The Villages, FL 32162 | 2017-04-04 |
| 1932631173 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 620 Kristine Way, The Villages, FL 32162 | 2017-03-28 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1669847059 | Dawn Johnson | Dental Assistant | 8900 Mulberry Ln, The Villages, FL 32162 | 2015-12-10 |
| Find all providers in zip 32162 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346514 | Lora Lee Thaxton | Physical Medicine & Rehabilitation | 1451 El Camino Real, The Villages, FL 32159 | 2005-06-15 |
| 1497758221 | Maria B Santos | Physical Medicine & Rehabilitation | 1503 Buenos Aires Blvd Ste 180, The Villages, FL 32159 | 2005-05-24 |
| 1457820920 | Randall L Braddom Md LLC | Physical Medicine & Rehabilitation | 1451 El Camino Real, The Villages, FL 32159-0041 | 2018-11-14 |
| 1578800454 | Bernadette Santos Md Pa | Physical Medicine & Rehabilitation | 1503 Buenos Aires Blvd Ste 180, The Villages, FL 32159 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031272 | Optimal Rehab Care, LLC | Physical Medicine & Rehabilitation | 872 Woodside Rd, Maitland, FL 32751-5134 | 2020-10-21 |
| 1952900243 | New Beginnings Medical and Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 13501 Sw 128th St Unit 201-202, Miami, FL 33186-5882 | 2020-10-19 |
| 1821605866 | Victoria Franco | Physical Medicine & Rehabilitation | 8921 Edgewater Bnd, Parkland, FL 33076-4563 | 2020-09-24 |
| 1518572148 | Marqus Ellery Fisher | Physical Medicine & Rehabilitation | 289 Sw Stonegate Ter Ste 101, Lake City, FL 32024-3457 | 2020-09-10 |
| 1447864806 | Goran Andonovski | Physical Medicine & Rehabilitation | 3108 Santa Barbara Blvd Ste D, Cape Coral, FL 33914-4537 | 2020-09-03 |
| 1770194656 | Maria Jose Gamboa | Physical Medicine & Rehabilitation | 8020 Cleary Blvd Apt 207, Plantation, FL 33324-1349 | 2020-08-13 |
| 1609486067 | Elizabeth Pereira | Physical Medicine & Rehabilitation | 4925 Grande Dr, Pensacola, FL 32504-8965 | 2020-07-31 |
| 1790393874 | Np Health of Fl LLC | Physical Medicine & Rehabilitation | 27794 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2020-07-15 |
| 1144847138 | Pohlman Pain Associates LLC | Physical Medicine & Rehabilitation | 5341 Atlantic Ave Ste 302, Delray Beach, FL 33484-8166 | 2020-06-25 |
| 1316563661 | Brooke Marshall | Physical Medicine & Rehabilitation | 2300 Jenks Ave Ste C, Lynn Haven, FL 32444-5469 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32162 |
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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.