DR. MATTHEW JOHN BRADLEY (NPI# 1265586283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265586283 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHN BRADLEY |
| Credential | M.D. |
| Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
| Mailing Address |
Po Box 64793 Baltimore MD 21264-4793 |
| Practice Telephone | 4103286704 |
| Practice Fax Number | 4103284124 |
| Mailing Telephone | 4103286704 |
| Mailing Fax Number | 4103284124 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D79189 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013276377 | Matthew L Bradley | Chiropractor | 2440 Hwy 95 Ste #a, Barnard Chiropractic, Bullhead City, AZ 86442 | 2012-05-08 |
| 1609008937 | Matthew Guy Bradley | Marriage & Family Therapist | 235 N 500 E, Orem, UT 84097-4831 | 2009-08-20 |
| 1134342918 | Matthew Walter Bradley | Orthopaedic Surgery | 1001 S Kirkwood Rd Ste 120, Saint Louis, MO 63122-7250 | 2007-04-10 |
| 1831728542 | Matthew Bradley | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2020-04-04 |
| 1932740222 | Matthew Bradley | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-10-08 |
| 1225523947 | Matthew Bradley | Psychiatry & Neurology | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2018-06-25 |
| 1588193130 | Matthew Henry Bradley Iv | Marriage & Family Therapist | 470 Twin Brook Dr, Waynesville, NC 28785-8348 | 2017-06-07 |
| 1386735835 | Matthew R Bradley | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2006-09-28 |
| 1801822481 | Matthew Bradley | Specialist/Technologist | 2300 Maccorkle Ave Se, Charleston, WV 25304-1045 | 2006-06-24 |
| Street Address |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806236 | Post-acute Care & Geriatric Surgery LLC | Surgery | 111 Hamlet Hill Rd Unit 911, Baltimore, MD 21210-1513 | 2019-02-05 |
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1336554716 | Jafar Haghshenas | Surgery | 1800 Orleans St # 6107, Baltimore, MD 21287-0010 | 2014-06-24 |
| 1477895266 | Anna Liveris | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201 | 2013-03-20 |
| 1538411657 | Sidney S. Mir | Surgery | 7905 Ellenham Ave, Baltimore, MD 21204-3523 | 2012-10-12 |
| 1285980854 | Noeline Rajarajan I | Surgery | 3449 Wilkens Ave Ste 100, Baltimore, MD 21229-5216 | 2012-08-01 |
| 1043565401 | Ouseph Janso Padickakudi | Surgery | 600 N. Wolfe Street, 655 Blalock, Johns Hopkins Hospital, Department of Surgery, Baltimore, MD 21287 | 2012-07-20 |
| 1770844888 | Mohammed Asif | Surgery | 4940 Eastern Ave # P34-13, Baltimore, MD 21224 | 2012-06-05 |
| 1285994020 | William Robert Leeper | Surgery | 1800 Orleans Street, Sheik Zayed Tower, Suite 6107, Baltimore, MD 21287 | 2012-05-28 |
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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.