MR. BRADLEY GERALD HALL (NPI# 1295761153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295761153 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY GERALD HALL |
| Credential | PA-C |
| Practice Address |
13723 N Litchfield Rd Surprise AZ 85379-4268 |
| Mailing Address |
18525 W Acapulco Ln Surprise AZ 85388-8735 |
| Practice Telephone | 8886986727 |
| Practice Fax Number | 6235844945 |
| Mailing Telephone | 6235879633 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3037 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DEA # | MH1142392 | 01 |
| AZ | MEDICARE PIN # | 85516 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426693 | Bradley Hall | Physical Therapist | 2500 S Power Rd Ste 123, Mesa, AZ 85209-6688 | 2015-05-07 |
| 1003220948 | Bradley Hall | Surgery | 42 Nd and Emile Street Univ of Nebraska Ctr, Department of General Surgery, Omaha, NE 68198-3280 | 2014-06-18 |
| 1871857532 | Bradley Hall | Dentist | 4095 Atwood Dr # A, Richmond, KY 40475-8325 | 2012-06-27 |
| 1942336466 | Bradley F Hall | Pharmacist | 4501 Valleydale Rd, Birmingham, AL 35242-4605 | 2007-02-26 |
| 1194296731 | Bradley Hall | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-12-07 |
| 1912257361 | Bradley Allen Hall I | Chiropractor | 7010 Preston Rd, Suite 100, Frisco, TX 75034-5869 | 2012-09-13 |
| 1326304247 | Bradley Ingalls Hall | Optometrist | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2012-04-04 |
| 1437444387 | Bradley Edward Hall | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2011-06-17 |
| 1275838815 | Bradley A Hall | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-01-12 |
| 1952540007 | Bradley Hall | Dentist | 1442 S Main St, Weatherford, TX 76086-5531 | 2009-02-12 |
| Street Address |
13723 N LITCHFIELD RD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85379-4268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750729521 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13723 N Litchfield Rd, Surprise, AZ 85379-4268 | 2013-06-13 |
| 1548583735 | Alicia Camille Mancini | Pharmacist | 13723 N Litchfield Rd, Surprise, AZ 85379-4268 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818887 | Arizona Heartlands Home Care, LLC | Adult Companion | 14626 W. Wethersfield Rd, Surprise, AZ 85379 | 2020-07-07 |
| 1740832351 | Amanda Deangelis | Specialist/Technologist | 14064 W. Poinsettia Dr., Surprise, AZ 85379 | 2019-07-13 |
| 1720550767 | Anastasia Assisted Living Home LLC | Assisted Living Facility | 12805 N 145th Ave, Surprise, AZ 85379 | 2018-12-31 |
| 1306355821 | National Vision, Inc. | Technician/Technologist | Loop 303, Surprise, AZ 85379 | 2017-09-27 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1336667096 | Leon Quoc Lai | Pharmacist | 13723 Litchfield Rd, Surprise, AZ 85379 | 2017-09-01 |
| 1134664451 | Princess Valentin | Nurse Practitioner | 15400 W Waddell Road, Surprise, AZ 85379 | 2016-12-21 |
| 1871952408 | James Care Associates LLC | In Home Supportive Care | 12720 N. 149th Lane, Surprise, AZ 85379 | 2016-02-10 |
| 1669861688 | Todd Cleland | Physical Therapist | 15384 W. Dahlia Drive, Surprise, AZ 85379 | 2015-01-14 |
| 1326442187 | Sarpotdar Orthodontics, Pllc | Dentist | 13775 N. Litchfield Rd, Suite 108, Surprise, AZ 85379 | 2014-10-22 |
| Find all providers in zip 85379 | ||||
| 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 |
|---|---|---|---|---|
| 1861010241 | Caleb Kruse | Physician Assistant | 16940 W White Wing Rd, Surprise, AZ 85387-6116 | 2020-07-11 |
| 1245872761 | Steven Frederick Legate | Physician Assistant | 14780 W Mountain View Blvd Ste 109, Surprise, AZ 85374-7280 | 2019-10-16 |
| 1578023040 | Morgan Anderson | Physician Assistant | 15416 N 169th Ln, Surprise, AZ 85388-1360 | 2019-03-21 |
| 1902398167 | Samantha Hawes | Physician Assistant | 16928 W Bell Rd Ste 701, Surprise, AZ 85374-8948 | 2018-06-04 |
| 1306342530 | Brant Morrow | Physician Assistant | 14800 W Mountain View Blvd Ste 250, Surprise, AZ 85374-4797 | 2018-04-05 |
| 1245501873 | Michelle Diocampo Claricia | Physician Assistant | 12775 W Bell Rd, Surprise, AZ 85378-9770 | 2012-01-12 |
| 1588992440 | John M Stroh | Physician Assistant | 13755 N Litchfield Rd, Surprise, AZ 85379-4287 | 2009-12-03 |
| 1174858567 | Tiffany R Anderson | Physician Assistant | 14239 W Bell Rd Ste 112, Surprise, AZ 85374-2470 | 2009-10-02 |
| 1225296981 | Tiffani Kay Mills | Physician Assistant | 14811 W. Bell Rd., Suite 101, Surprise, AZ 85374-7602 | 2008-05-29 |
| 1780634204 | Jagpreet Singh | Physician Assistant | 17014 W Bell Rd, 101, Surprise, AZ 85374-2479 | 2006-05-12 |
| Find all providers in SURPRISE | ||||
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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.