DR. BRADLEY WILLIAM SAMUEL (NPI# 1255363586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255363586 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY WILLIAM SAMUEL |
| Credential | PHD |
| Practice Address |
2400 Tucker Ne Albuquerque NM 87131-0001 |
| Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052721734 |
| Practice Fax Number | 5052726308 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
738 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE SHIELD | NM01JB06 | 01 |
| CO | 09702784 | 05 | |
| AZ | 955627 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780626366 | Bradley Austin Samuel | Dentist | 1001 N Lindsay St, High Point, NC 27262-3905 | 2006-06-11 |
| Street Address |
2400 TUCKER NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255320198 | Jan Fawcett | Psychiatry & Neurology | 2400 Tucker Ne, Msc09 5030, Albuquerque, NM 87131-0001 | 2005-10-13 |
| 1376962241 | Francheska Sevyllyn Gurule | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-5781 | 2014-04-08 |
| 1730516055 | Cristina Beato | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2013-10-01 |
| 1346508975 | James Eugene Cheek | Preventive Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2012-05-02 |
| 1235405986 | Kira Anne Paisley | Family Medicine | 2400 Tucker Ne, Msc09 5040, Albuquerque, NM 87131-0001 | 2012-03-27 |
| 1598031395 | Sara Thorp | Family Medicine | 2400 Tucker Ne, Family Medicine Center, Albuquerque, NM 87131-0001 | 2012-03-26 |
| 1598058752 | Maggie Klappauf | Physician Assistant | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2011-05-20 |
| 1962723205 | Mary Beth Sutter | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2010-06-22 |
| 1174848808 | David G Stromberg | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2010-04-06 |
| 1790922128 | David G. Pitonzo | Physician Assistant | 2400 Tucker Ne, Msc 09 5040, Albuquerque, NM 87131-0001 | 2009-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844747 | Ellen Soisson | Psychologist | 11005 Spain Rd Ne Ste 8, Albuquerque, NM 87111-1871 | 2020-05-31 |
| 1124584313 | Mark Simpson Psyd Mac Ladc LLC | Psychologist | 2920 Carlisle Blvd Ne Ste G, Albuquerque, NM 87110-2867 | 2019-02-13 |
| 1548775414 | Julie Brovko | Psychologist | 215 Gold Ave Sw Ste 202, Albuquerque, NM 87102-3364 | 2017-12-13 |
| 1134633498 | Evan Espinosa | Psychologist | 933 Bradbury Dr. Se, Suite 2222, Albuquerque, NM 87106-4374 | 2017-11-24 |
| 1982113205 | Diana Bennett | Psychologist | 1501 San Pedro Dr Se # Mc116, Albuquerque, NM 87108-5153 | 2017-09-29 |
| 1518411297 | Emily Kathryn Andrews | Psychologist | 1001 Yale Boulevard Ne, Albuquerque, NM 87131-1830 | 2016-08-10 |
| 1982076402 | Sally Eden Moretti | Psychologist | 5920 Canyon Vista Dr Ne, Albuquerque, NM 87111-6621 | 2015-10-23 |
| 1881087526 | Aaron Joyce, Ph.d., LLC | Psychologist | 3532 Anderson Ave. Se, Albuquerque, NM 87106 | 2015-03-05 |
| 1073903506 | Samardzija Psychological Center | Psychologist | 12900 Sandia Point Rd Ne, Albuquerque, NM 87111-8198 | 2015-02-04 |
| 1679974943 | Sage Behavioral Health Center | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87131 |
Please comment or provide details below to improve the information on DR. BRADLEY WILLIAM SAMUEL.
| 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.