JAMIE G. BRADBURN (NPI# 1255384210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255384210 |
| Entity Type | Individual |
| Full Name | JAMIE G. BRADBURN |
| Credential | APRN |
| Practice Address |
475 Shoppers Dr Winchester KY 40391-1380 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 8597445111 |
| Practice Fax Number | 8597441177 |
| Mailing Telephone | 6063307840 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3004814 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78016060 | 05 | |
| KY | GROUP MEDICARE # | 6400 | 01 |
| KY | 78901261 | 05 |
| Street Address |
475 SHOPPERS DR |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659336923 | Beth Ellen Killian | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-04-19 |
| 1174021737 | Billie Renee Hensley | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2018-01-30 |
| 1871902957 | Rachel Decoster | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2014-08-04 |
| 1467788216 | Edward Allen Sizemore | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2009-10-29 |
| 1659567329 | Winchester Medical Associates, LLC | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2007-09-17 |
| 1972559714 | Eric W. Bradburn | Internal Medicine | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-25 |
| 1881640621 | Ralph A. Alvarado | Internal Medicine | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-25 |
| 1225084072 | Angela D. Wood | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-25 |
| 1952354813 | Winchester Medical Associates, LLC | Pediatrics | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487333 | Lynne Caldwell | Nurse Practitioner | 11 Norwood St, Winchester, MA 01890-2639 | 2020-01-29 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
| 1659567329 | Winchester Medical Associates, LLC | Nurse Practitioner | 475 Shoppers Dr, Winchester, KY 40391-1380 | 2007-09-17 |
| 1215003777 | Robin Sandy Cather | Nurse Practitioner | 2913 Valley Ave, Suite 200, Winchester, VA 22601-2676 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695255 | Norton Childrens Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-08-26 |
| 1407402209 | Elleanor Gray | Nurse Practitioner | 411 E Chestnut St Ste 645, Louisville, KY 40202-1713 | 2019-08-16 |
| 1639681992 | Jazmine Gabrielle Yates | Nurse Practitioner | 1330 S Mayo Trl Ste 201, Pikeville, KY 41501-2321 | 2017-10-26 |
| 1003335050 | Kathryn Alexis Perkins | Nurse Practitioner | 1016 Town Dr, Highland Heights, KY 41076-9753 | 2017-09-11 |
| 1386194447 | Morgan Chojnacki | Nurse Practitioner | Kentucky Clinic Pediatric High Bmi Clinic, 740 S. Limestone 2nd Floor Wing D, Lexington, KY 40536 | 2016-10-12 |
| 1811374887 | Hannah Lynn Puntney | Nurse Practitioner | 800 Rose St. Ms 235, Lexington, KY 40536 | 2015-04-29 |
| 1184016685 | Amy Verst | Nurse Practitioner | 1501 Burnley Rd, Scottsville, KY 42164-9693 | 2015-02-20 |
| 1326454448 | Madisonville Pediatrics | Nurse Practitioner | 15 N Harrig St, Madisonville, KY 42431-2123 | 2014-07-09 |
| 1508294000 | Kelly Caroline Nelson | Nurse Practitioner | 740 S Limestone Rm J442, Lexington, KY 40536-0001 | 2013-10-18 |
| 1467789974 | Amanda Faith Dressman | Nurse Practitioner | 1780 Nicholasville Rd Ste 301, Lexington, KY 40503-1413 | 2009-11-05 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
Please comment or provide details below to improve the information on JAMIE G. BRADBURN.
| 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.