DR. MARK A BRADFORD (NPI# 1295907707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295907707 |
| Entity Type | Individual |
| Full Name | DR. MARK A BRADFORD |
| Credential | M.D. |
| Practice Address |
2500 Ne Neff Rd Bend OR 97701-6015 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5417067715 |
| Practice Fax Number | 5417067742 |
| Mailing Telephone | 5417327960 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD173710 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500688024 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1698 E Mcandrews Rd, Ste 400, Medford, OR 975045589 | 5417327960 | 5417327961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137611 | Mark Bradford | Physician Assistant | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2006-06-03 |
| 1477555613 | Mark Larsen Bradford | Dentist | 2545 Ceanothus Ave, Ste 138, Chico, CA 95973-7611 | 2005-06-01 |
| 1396867271 | Mark Lavelle Bradford | Psychologist | 309 N Jefferson Ave, Ste 245, Springfield, MO 65806-1108 | 2007-04-04 |
| 1548335938 | Mark W Bradford | Specialist | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2006-11-21 |
| Street Address |
2500 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942709 | Gary D Hood | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-06-14 |
| 1053927871 | Chelsey Candida Gersema | Registered Nurse | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-09-17 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| 1528525995 | Steven Diaz | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-02-21 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1447738547 | Victoria Stavish | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-07-31 |
| 1457841173 | Regina M Joshi-mcgaw | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-05-17 |
| 1215439435 | Lesley Srikantaiah | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-03-03 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640351 | The Pressure Company, Inc. | Internal Medicine | 60360 Chickasaw Way, Bend, OR 97702-9724 | 2006-08-24 |
| 1710094065 | Matthew J Hegewald | Internal Medicine | 2275 Ne Doctors Dr Ste 5, Bend, OR 97701-6324 | 2006-08-24 |
| 1992854178 | Michael Earl Westley | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2007-01-09 |
| 1447271986 | Rod Lee Elliott-mullens | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701 | 2006-07-21 |
| 1174581078 | Alan R Ertle | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-05-02 |
| 1295727535 | Richard John Maunder | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073073250 | Good Samaritan Hospital Corvallis | Internal Medicine | 3640 Nw Samaritan Dr Ste 100c, Corvallis, OR 97330-3784 | 2019-03-22 |
| 1730672411 | Lawrence Edward Permen | Internal Medicine | 25139 Allure Ave, Veneta, OR 97487-8713 | 2018-06-07 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| 1750648432 | Robert Dreisin | Internal Medicine | 6350 Sw Burlingame Ave, Portland, OR 97239-2635 | 2012-04-18 |
| 1982984142 | Frank Nelson Turner | Internal Medicine | 2260 Marcola Rd, Springfield, OR 97477-2594 | 2011-08-19 |
| 1619209756 | Ana Maria Ponea | Internal Medicine | 364 Se 8th Ave Ste 301a, Hillsboro, OR 97123-5273 | 2010-01-30 |
| 1962645549 | Elham Karamooz | Internal Medicine | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-13 |
| 1912149790 | Samuel R. Glickman | Internal Medicine | 25050 Se Stark Street, Legacy Mt Hood Multispecialty Clinic, Gresham, OR 97030 | 2009-03-25 |
| 1831368554 | Ohsu Medical Group | Internal Medicine | 2115 Sw River Pkwy, Portland, OR 97201-8024 | 2008-02-27 |
| Find all providers with the same taxonomy | ||||
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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.