MARK BRADLEY (NPI# 1427162635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427162635 |
Entity Type | Individual |
Full Name | MARK BRADLEY |
Practice Address |
913 Nw Garden Valley Blvd Roseburg OR 97470-6523 |
Practice Telephone | 5414401000 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G065181 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205275930 | Mark Ed,mund Bradley | Preventive Medicine | 9316 Falls Bridge Ln # M, Potomac, MD 20854-3950 | 2013-06-15 |
1356408116 | Mark Winter Bradley | Specialist | 756 Preakness Dr, West Melbourne, FL 32904-7310 | 2007-01-02 |
1497786867 | Mark Stephen Bradley | Ophthalmology | 1925 Aspen Dr Ste 500b, Santa Fe, NM 87505-5495 | 2006-07-05 |
1396793931 | Mark B Bradley | Podiatrist | 1602 W 26th St, Sioux Falls, SD 57105-2610 | 2006-05-05 |
1841269040 | Mark Stephen Bradley | Optometrist | 322 E Front St, Trayerise City, MI 49684 | 2006-03-17 |
1053727156 | Mark Bradley | Social Worker | 1585 3rd St, Bjach, Fort Polk, LA 71459-5102 | 2014-07-09 |
1457648693 | Mark Edward Bradley | Counselor | 63 Fairmount St, Fitchburg, MA 01420-7613 | 2011-07-08 |
1659437028 | Mark Vincent Bradley | Psychiatry & Neurology | 423 E 23rd St, New York, NY 10010-5011 | 2006-12-29 |
1982775391 | Mark Bradley | Chiropractor | 507 Shelburne Rd, Burlington, VT 05401-5008 | 2006-11-10 |
1427016575 | Mark R Bradley | Family Medicine | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2006-05-01 |
Street Address |
913 NW GARDEN VALLEY BLVD |
City | ROSEBURG |
State | OR |
Zip Code | 97470-6523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003874546 | Roseburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2006-05-03 |
1114525607 | Kenny Duong | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-10-15 |
1588262521 | Ayman Alholail | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-10-12 |
1194332528 | Carrie Webster | Psychologist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-09-29 |
1619580776 | Shane Gamble | Dietitian, Registered | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-08-28 |
1942811658 | Shannon O'leary | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-08-14 |
1215554209 | Joseph Albrecht | Dietitian, Registered | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-06-25 |
1609402601 | Crystal Marie Leatherman | Dietitian, Registered | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6513 | 2020-03-21 |
1477189710 | Foua Xiong | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2020-03-18 |
1700425741 | Leah Isip | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 | 2019-12-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
Find all providers in zip 97470 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538254941 | Patrick W Clyde | Internal Medicine | 2570 Nw Edenbower Blvd., Suite 100, Roseburg, OR 97471-6214 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346620408 | Albany General Hospital | Internal Medicine | 1086 7th Avenue Sw, Suite 200, Albanyr, OR 97321-1954 | 2015-06-04 |
1164772281 | Sheldon Junior Mckenzie | Internal Medicine | 520 Sw Ramsey Avenue, Suite 205, Grants Pass, OR 97527-0001 | 2012-09-17 |
1669731204 | Elena Vladimirovna Varlamov | Internal Medicine | 3181 Sw Sam Jackson Park Road, L607, Portland, OR 97239-3098 | 2012-05-15 |
1134486780 | Leah M Wilson | Internal Medicine | 3181 Sw Sam Jackson Park Rd L579, Ohsu, Portland, OR 97239 | 2012-04-20 |
1225225113 | James W. Theen, Md PC | Internal Medicine | 935 Town Centre Dr, Suite B, Medford, OR 97504-6172 | 2007-09-25 |
1821283631 | Priya Krishnamurthy | Internal Medicine | 960 Liberty St. Se, Suite 170, Salem, OR 97302 | 2007-09-14 |
1700983574 | Maria Fleseriu | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Bte472, Portland, OR 97239-3011 | 2006-09-20 |
1790888097 | Beverley E Phillipson | Internal Medicine | 107 Se Swan Ave, Siletz, OR 97380 | 2006-09-06 |
1306894647 | Rogue Endocrinology and Metabolic Clinic | Internal Medicine | 3144 State St, Medford, OR 97504-8450 | 2006-05-05 |
1992768592 | Irina Robinson | Internal Medicine | 3615 Nw Samaritan Dr Ste G2, Corvallis, OR 97330-3783 | 2006-04-06 |
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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.