BRADLEY D BERRY (NPI# 1326083023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326083023 |
| Entity Type | Individual |
| Full Name | BRADLEY D BERRY |
| Credential | MD |
| Practice Address |
500 W Broadway St Suite 320 Missoula MT 59802-4003 |
| Practice Telephone | 4063295615 |
| Practice Fax Number | 4063295606 |
| Mailing Telephone | 4063295615 |
| Mailing Fax Number | 4063295606 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
10148 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0049556 | 05 |
| Street Address |
500 W BROADWAY ST SUITE 320 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1205468725 | Stephanie Elizabeth Carl | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-02-12 |
| 1942840483 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-13 |
| 1346880119 | Kaylyn Casebolt Desrosier | Pharmacist | 500 W Broadway St, Missoula, MT 59802-4008 | 2020-01-09 |
| 1689168049 | Kacia Bundle | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-06-19 |
| 1114424488 | Hannah Gilliland | Nurse Practitioner | 500 W Broadway St, Missoula, MT 59802-4008 | 2018-04-12 |
| 1386164408 | Sandra Lynn Cummins | Social Worker | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-06-20 |
| 1548797152 | Joseph M Miller | Internal Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-05-12 |
| 1083147664 | Matthew Mcgady | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-04-10 |
| 1982135216 | Meeka Pradeep Gandhi | Pediatrics | 500 W Broadway St, Missoula, MT 59802-4008 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1932460763 | Matthew Cortright Weiss | Internal Medicine | 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804-7408 | 2012-06-07 |
| 1477581916 | Philip A. Roper | Internal Medicine | 601 W Spruce St Ste A, Missoula, MT 59802-4047 | 2006-06-30 |
| 1124077334 | Newton Basil Coutinho | Internal Medicine | 2419 Mullan Rd Ste A, Missoula, MT 59808-1856 | 2006-05-08 |
| 1003865171 | George Bandow | Internal Medicine | 2809 Great Northern Loop, Suite 200, Missoula, MT 59808 | 2006-05-08 |
| 1619925575 | Jon Brant Mcgregor | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2006-05-04 |
| 1144538505 | Providence Health & Services Mt | Internal Medicine | 500 W Broadway St, Suite 320, Missoula, MT 59802-4031 | 2010-09-20 |
| 1972831220 | St Patrick Hospital and Health Sciences Center | Internal Medicine | 500 W Broadway St, Suite 320, Missoula, MT 59802-4008 | 2009-11-25 |
| 1316172042 | St. Patrick Hospital Corp | Internal Medicine | 300 W Broadway St, Suite 300, Missoula, MT 59802-4126 | 2009-05-26 |
| 1104021781 | Daniel B Spoon | Internal Medicine | 500 W Broadway St Ste 320, Missoula, MT 59802-4003 | 2007-06-15 |
| 1346396967 | Michael C Reed | Internal Medicine | 500 West Broadway, St. Patrick Hospital, Missoula, MT 59802-4008 | 2007-01-26 |
| Find all providers in MISSOULA | ||||
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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.