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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | M3168 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS OF TX | 8P9632 | 01 |
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 |
Street Address |
3605 EXECUTIVE DR |
City | SAN ANGELO |
State | TX |
Zip Code | 76904-6884 |
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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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 |
Find all providers in zip 76904 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | SAN ANGELO |
Zip Code | 76904 |
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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.