MARK BRADLEY


Address: 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523
Phone: 5414401000

MARK BRADLEY (NPI# 1427162635) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
G065181 CA Allopathic & Osteopathic Physicians

Other Providers MARK BRADLEY

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

Office Location

Street Address 913 NW GARDEN VALLEY BLVD
City ROSEBURG
State OR
Zip Code 97470-6523

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538254941 Patrick W Clyde Internal Medicine 2570 Nw Edenbower Blvd., Suite 100, Roseburg, OR 97471-6214 2006-10-03

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City ROSEBURG
Zip Code 97470

Improve Information

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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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