DR. BRADLEY NELSON MARTIN


Address: 3400 Spruce St, Philadelphia, PA 19104-4238
Phone: 2166622200

DR. BRADLEY NELSON MARTIN (NPI# 1376078212) 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) 1376078212
Entity Type Individual
Full Name DR. BRADLEY NELSON MARTIN
Credential M.D., PH.D.
Practice Address 3400 Spruce St
Philadelphia
PA 19104-4238
Mailing Address 75 Francis St
Boston
MA 02115-6110
Practice Telephone 2166622200
Mailing Telephone 6177325500
Enumeration Date 2017-04-28
Last Update Date 2018-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers BRADLEY MARTIN

NPI Name Taxonomy Address Enumeration
1114536737 Bradley Martin Nurse Practitioner 31 M St Apt 110, Salt Lake City, UT 84103-3846 2020-07-29
1467006916 Bradley Martin Student in an Organized Health Care Education/Training Program 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 2019-08-01
1124398631 Bradley A Martin Speech-Language Pathologist 509 Hummingbird Cv, Jonesboro, AR 72404-8516 2012-01-01
1851693659 Bradley Eugene Martin Contractor 8414 Meadow Green Way, Gaithersburg, MD 20877-3741 2010-11-30
1841249489 Bradley Martin Physician Assistant 1014 Biglane Drive, Brookhaven, MS 39601 2006-05-10
1689274664 Bradley Martin Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1639788086 Bradley Martin Counselor 11027 Burbank Blvd, North Hollywood, CA 91601-2431 2020-07-30
1144729153 Bradley Neal Martin Social Worker 3809 Rosewood Dr, Columbia, SC 29205-3533 2018-02-05
1518481522 Bradley Martin Physical Therapist 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 2017-08-01
1992163638 Bradley Martin Counselor 1 Veterans Dr, Minneapolis, MN 55417-2309 2016-02-09

Office Location

Street Address 3400 SPRUCE ST
City PHILADELPHIA
State PA
Zip Code 19104-4238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415966 Samuel Isaiah Parry Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2005-05-24
1831790609 Renate Marie Balitzky Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-11-06
1053911156 Jordan Charles Templeton Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4274 2020-10-28
1992305304 Alyssa N Volpe Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1700486115 Christina Haddow Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1629677497 Marissa Leigh Berlant Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-22
1811595523 Kristen Gilgen Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-14
1962014654 Stacey Pham Nurse Practitioner 3400 Spruce St, Philadelphia, PA 19104-4238 2020-08-23
1265040109 Abdullah T Almuqate Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-07-16
1952928541 Stefen Andrianus Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2020-06-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1891395828 Roopali Mahajan Student in an Organized Health Care Education/Training Program 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 2020-10-28
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1477166056 Tiffany Shanay Canady Student in an Organized Health Care Education/Training Program 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 2020-08-25
1093325599 Taylor Ann Hall Student in an Organized Health Care Education/Training Program 403 E Evergreen Ave, Philadelphia, PA 19118-2826 2020-08-09
1093324766 Alex J Rodriguez Student in an Organized Health Care Education/Training Program 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 2020-07-28
1396361796 Hagar Mahmoud Student in an Organized Health Care Education/Training Program 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 2020-06-22
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1386266138 Ogan Kumova Student in an Organized Health Care Education/Training Program 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 2020-05-15
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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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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