BRADFORD LEE CAMBRON (NPI# 1407890643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407890643 |
| Entity Type | Individual |
| Full Name | BRADFORD LEE CAMBRON |
| Credential | M.D. |
| Practice Address |
211 Sudderth Dr Ruidoso NM 88345-6002 |
| Mailing Address |
455 Saint Michaels Dr Santa Fe NM 87505-7601 |
| Practice Telephone | 5752578200 |
| Mailing Telephone | 5059136130 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 93-232 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 9285 | 05 |
| Street Address |
211 SUDDERTH DR |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545418 | Michael David Noltensmeyer | Nurse Anesthetist, Certified Registered | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2005-06-01 |
| 1144843491 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-05-21 |
| 1285253682 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-04-15 |
| 1144791435 | Michael Padilla | Pharmacist | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2018-12-11 |
| 1932659000 | Natalie Mcelhany | Nurse Practitioner | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-10-12 |
| 1184170185 | Francisco J Vargas Nava | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-08-30 |
| 1396802864 | Presbyterian Healthcare Services | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2007-01-03 |
| 1932209822 | Charles L Pfaff | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-09-22 |
| 1124039235 | Lincoln County Radiology LLC | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345 | 2006-08-11 |
| 1376552810 | Paul S Gulbas | Ophthalmology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007689 | Victor J Rodrigues | Emergency Medicine | 125 El Paso Rd, Ruidoso, NM 88345-6033 | 2007-03-07 |
| 1508841495 | Lincoln County Ambulance | Emergency Medicine | 211 Sudderth, Ruidoso, NM 88345 | 2005-12-13 |
| 1184170185 | Francisco J Vargas Nava | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-08-30 |
| 1396802864 | Presbyterian Healthcare Services | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2007-01-03 |
| 1295821197 | Patrick J Connor | Emergency Medicine | 211 Sudderth, Lincoln County Medical Center, Ruidoso, NM 88345 | 2006-10-05 |
| 1457442691 | Mark E King | Emergency Medicine | 1401 Sudderth Dr, Ruidoso, NM 88345-6104 | 2006-09-27 |
| 1558347708 | Presbyterian Healthcare Services | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992261309 | Health West LLC | Emergency Medicine | 3300 W Main St Ste F, Artesia, NM 88210-9617 | 2019-02-11 |
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1083026140 | Damek Santiago Maurice | Emergency Medicine | Christus St. Vincent Regional Medical Center, 455 St. Michaels Drive, Santa Fe, NM 87505 | 2014-05-23 |
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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.