DEL-LANDRIA BRADLEY (NPI# 1386026383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386026383 |
Entity Type | Individual |
Full Name | DEL-LANDRIA BRADLEY |
Credential | SLPA |
Practice Address |
4761 Highway 501 Ste 1 Myrtle Beach SC 29579-9457 |
Mailing Address |
Po Box 1523 Little River SC 29566-1523 |
Practice Telephone | 8434557505 |
Enumeration Date | 2015-06-25 |
Last Update Date | 2015-06-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
5704 | SC | Speech, Language and Hearing Service Providers |
Street Address |
4761 HIGHWAY 501 STE 1 |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-9457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780998849 | Rachel Clare Kunz | Physical Therapist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2010-07-31 |
1568078400 | Emily Lawrence | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2020-09-16 |
1770125221 | Jill Hafenbreidel | Occupational Therapist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2019-10-16 |
1821640566 | Stephanie Schank | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2019-07-12 |
1922567049 | Danielle Stewart | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2019-03-18 |
1558831966 | Raymond Phillip Laspada | Physical Therapist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2018-11-28 |
1972071819 | Lisa Merriman | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2018-11-08 |
1851887343 | Cameron White | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2018-07-08 |
1053793083 | Jessica Crowninshield | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2015-06-25 |
1427430438 | Teah Valrie | Speech-Language Pathologist | 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 | 2015-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
Find all providers in zip 29579 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124651377 | Amanda Mcbrayer | Specialist/Technologist | 200 Idonia Dr, Taylors, SC 29687-3813 | 2020-02-17 |
1033760384 | Leslie Hagood | Specialist/Technologist | 138 Larkspur Ln, Columbia, SC 29229-8173 | 2019-09-26 |
1134616162 | Adriana Kelly | Specialist/Technologist | 714 S Lake Dr Ste 151, Lexington, SC 29072-3462 | 2018-04-16 |
1033623897 | Debra L Penland | Specialist/Technologist | 131 Charles B Gibson Blvd, Goose Creek, SC 29445-4559 | 2017-11-30 |
1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
1902201296 | Deborah Houk Cousins | Specialist/Technologist | 1183 Hebron Dunbar Rd, Bennettsville, SC 29512-7307 | 2014-10-29 |
1487991154 | Shanta Latrice Chester | Specialist/Technologist | 603 N Dennis Ave, Bishopville, SC 29010-1437 | 2013-01-14 |
1447543616 | Gwendolyn Barton Bozeman | Specialist/Technologist | 410 E Butler Rd, Mauldin, SC 29662-3250 | 2011-05-22 |
1750673737 | Shamra O Richardson | Specialist/Technologist | 618 8th Ave, Aynor, SC 29511 | 2011-05-09 |
Find all providers with the same taxonomy |
City | MYRTLE BEACH |
Zip Code | 29579 |
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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.