DR. BRIAN A BRADLEY


Address: 3605 Executive Dr, San Angelo, TX 76904-6884
Phone: 3259499555

DR. BRIAN A BRADLEY (NPI# 1356383269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356383269
Entity Type Individual
Full Name DR. BRIAN A BRADLEY
Credential MD
Practice Address 3605 Executive Dr
San Angelo
TX 76904-6884
Practice Telephone 3259499555
Mailing Telephone 3259499555
Enumeration Date 2006-06-12
Last Update Date 2018-12-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology M3168 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS OF TX 8P9632 01

Other Providers BRIAN BRADLEY

NPI Name Taxonomy Address Enumeration
1104397348 Brian K Bradley Counselor 2212 N Winery Ave, Fresno, CA 93703-2896 2018-12-16
1104474147 Brian Michael Bradley I Student in an Organized Health Care Education/Training Program 340 Maple St, Marlborough, MA 01752-3200 2019-09-03
1184023475 Brian Bradley Licensed Practical Nurse 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 2014-08-22
1619384815 Brian David Bradley Psychologist 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 2014-07-20
1124347935 Brian Sean Bradley Physical Therapy Assistant 700 Colorado Blvd, Ste 318, Denver, CO 80206-4084 2010-05-19
1265760029 Brian Michael Bradley Specialist/Technologist 745 Orienta Ave, Suite 1015, Altamonte Springs, FL 32701-5619 2009-12-05
1740347608 Brian William Bradley Psychologist 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 2007-01-02
1063590354 Brian William Bradley Physical Therapist 1050 Old Des Peres Rd, Suite 40, Saint Louis, MO 63131-1873 2006-11-02
1881610616 Brian M. Bradley Pain Medicine 401 W Pennsylvania Ave, Anaconda, MT 59711 2006-07-14
1083611420 Brian S Bradley Pediatrics 2142 N Cove Blvd, Toledo, OH 43606-3895 2005-06-30

Office Location

Street Address 3605 EXECUTIVE DR
City SAN ANGELO
State TX
Zip Code 76904-6884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295716264 San Angelo Ambulatory Surgery Center Clinic/Center 3605 Executive Dr, San Angelo, TX 76904-6884 2005-11-08
1497233134 Brittney Hughes Specialist/Technologist 3605 Executive Dr, San Angelo, TX 76904-6884 2018-08-03
1275954232 Michael Matthews Physician Assistant 3605 Executive Dr, San Angelo, TX 76904-6884 2013-12-18
1326384553 Soheil Daftarian Ophthalmology 3605 Executive Dr, San Angelo, TX 76904-6884 2012-12-16
1134463300 Melissa Mcarthur Audiologist 3605 Executive Dr, San Angelo, TX 76904-6884 2012-11-12
1134472509 Kayla Joy Gibbs Nurse Practitioner 3605 Executive Dr, San Angelo, TX 76904-6884 2012-10-22
1124383567 Michael Keesey Boyd Surgery 3605 Executive Dr, San Angelo, TX 76904-6884 2012-07-11
1790065936 Jessie Hoak Clinical Nurse Specialist 3605 Executive Dr, San Angelo, TX 76904-6884 2011-08-19
1427297506 Jennifer D Slaven Clinical Nurse Specialist 3605 Executive Dr, San Angelo, TX 76904-6884 2009-02-12
1144485756 West Texas Medical Associates Family Medicine 3605 Executive Dr, San Angelo, TX 76904 2008-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407342702 Mark Wandal Duncan Specialist/Technologist 2237 South Jackson, San Angelo, TX 76904 2018-07-10
1700267259 Sheila Patterson Nurse Practitioner 4251 Sunset Drive, San Angelo, TX 76904 2015-06-10
1346649316 Mason William Mcclintock Dentist 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 2014-08-15
1265855712 Lynn M. Thebo, Lcsw, Pllc Social Worker 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 2014-02-03
1487077459 Lynn Marie Thebo Social Worker 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 2014-01-28
1558646521 John Porter Parker Jr. Pharmacist 3705 Threewn Trail, San Angelo, TX 76904 2011-10-20
1568772036 Medical Alliance Group of Texas, LLC Durable Medical Equipment & Medical Supplies 2525 S Johnson Ste A, San Angelo, TX 76904 2010-10-18
1578796710 Jennifer L White Physical Therapist 2237 S. Jackson, San Angelo, TX 76904 2009-09-03
1548443203 Kelly K. Sawyer, D.d.s., P.a. Dentist 3013 W. Loop 306, San Angelo, TX 76904 2007-12-17
1023224789 D&s Residential Services Intermediate Care Facility, Mentally Retarded 1706 Idaho Avenue, San Angelo, TX 76904 2007-05-16
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306076138 Andrew Taylor Kingman Urology 120 E Beauregard Ave, San Angelo, TX 76903-5919 2009-07-14
1619157427 Elisa K Brantly Urology 120 E Beauregard Ave, San Angelo, TX 76903-5919 2007-11-08
1558328146 Donald W Cook Urology 3605 Executive Dr, San Angelo, TX 76904-6884 2006-04-27
1467412064 John S Ballard Urology 3605 Executive Dr, San Angelo, TX 76904-6884 2006-03-27
1356329015 Bradley Mciver Urology 120 E Beauregard Ave, San Angelo, TX 76903-5919 2006-01-04
1235117953 Riefford Gail Flood Urology 120 E Beauregard Ave, San Angelo, TX 76903-5919 2006-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518573765 William Cooper Buschemeyer IIi, M.d. P.a. Urology 26620 Interstate 45-north, The Woodlands, TX 77386 2020-09-22
1619587169 Jasgurpreet Singh Urology 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 2020-08-08
1215443064 Greater Austin Urology, Pllc Urology 11673 Jollyville Rd Ste B101, Austin, TX 78759 2017-12-15
1649780453 Paul Bradley Md Pllc Urology 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 2017-10-06
1154857977 Darren M. Chapman M.d., Pllc Urology 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 2017-05-11
1114308467 Kashyap Shatagopam Urology 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 2015-06-12
1114311933 Marshall Stein Urology 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 2015-03-19
1023401510 Robert A Bloom Md Pllc Urology 416 S. Henderson St., Fort Worth, TX 76104 2015-03-09
1366853152 Lawrence Tsai Urology 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 2014-05-14
1558780031 Rachel Sosland Urology 4207 James Casey St Ste 107, Austin, TX 78745-1192 2014-04-10
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Competitor

Search similar providers

City SAN ANGELO
Zip Code 76904

Improve Information

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Dataset Information

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.

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