DR. BRAD H LILLY (NPI# 1427165422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427165422 |
| Entity Type | Individual |
| Full Name | DR. BRAD H LILLY |
| Credential | DPM |
| Practice Address |
3131 College Heights Blvd Suite 1500 Allentown PA 18104-4812 |
| Practice Telephone | 6108210444 |
| Practice Fax Number | 6108207006 |
| Mailing Telephone | 6108210444 |
| Mailing Fax Number | 6108207006 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2009-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC004243L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 013746 | 01 |
| CAPITAL BLUE CROSS | 50003290 | 01 | |
| INDEPENCE BLUE CROSS | 0659158000 | 01 |
| Street Address |
3131 COLLEGE HEIGHTS BLVD SUITE 1500 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848411 | Lawrence Wadi Bardawil | Internal Medicine | 3131 College Heights Blvd, Suite 1200, Allentown, PA 18104-4812 | 2005-08-10 |
| 1205382769 | Christina Scheirer | Physical Therapy Assistant | 3131 College Heights Blvd, 2600, Allentown, PA 18104-4812 | 2016-08-25 |
| 1801274246 | Priority Physical Therapy LLC | Clinic/Center | 3131 College Heights Blvd, #2600, Allentown, PA 18104-4812 | 2015-05-18 |
| 1760899553 | John L. Potter, Dmd PC | Dental Laboratory | 3131 College Heights Blvd, Ste 2800, Allentown, PA 18104-4812 | 2014-07-14 |
| 1225442346 | Peter David Kleckner | Audiologist | 3131 College Heights Blvd, Allentown, PA 18104-4812 | 2014-06-17 |
| 1144633835 | Tamatha S Bowes | Dentist | 3131 College Heights Blvd, Suite #2500, Allentown, PA 18104-4812 | 2014-06-10 |
| 1265856454 | Allison Brewer | Physical Therapist | 3131 College Heights Blvd, Suite 2600, Allentown, PA 18104-4812 | 2014-02-10 |
| 1295158160 | Advanced Cardiology Care Inc | Internal Medicine | 3131 College Heights Blvd, Suite 2200, Allentown, PA 18104-4812 | 2014-01-29 |
| 1396166161 | Colleen Gilhool | Nurse Practitioner | 3131 College Heights Blvd, Suite 1200, Allentown, PA 18104-4812 | 2013-12-22 |
| 1598197881 | Contemporary Dentistry | Clinic/Center | 3131 College Heights Blvd, Suite 2100, Allentown, PA 18104-4812 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437166741 | Mary E Robinson | Podiatrist | 317 Springhouse Rd, Allentown, PA 18104-4613 | 2006-08-01 |
| 1275518854 | Ann C Anderson | Podiatrist | 1633 N 26th St, Allentown, PA 18104-1805 | 2005-12-07 |
| 1891770483 | Allentown Family Foot Care Professional Corporation | Podiatrist | 2414 Walbert Ave, Allentown, PA 18104-1326 | 2005-12-07 |
| 1346235017 | Douglas A Tozzoli | Podiatrist | 501 N 17th St Ste 107, Allentown, PA 18104-5044 | 2005-09-19 |
| 1710972716 | Marinilda Rodriguez | Podiatrist | 101 S 17th St, Allentown, PA 18104-6704 | 2005-09-15 |
| 1801888987 | Orthopaedic Associates of Allentown | Podiatrist | 250 Cetronia Road, Suite 303, Allentown, PA 18104-9168 | 2005-08-16 |
| 1174523856 | Andrew Grant Puckett | Podiatrist | 827 W Wyoming St, Allentown, PA 18103-3961 | 2005-07-26 |
| 1992702880 | Jay E. Melman | Podiatrist | 103 S 17th St, Allentown, PA 18104-6704 | 2005-07-07 |
| 1639776834 | Irene E. Economou, D.p.m. LLC | Podiatrist | 103 S 17th St, Allentown, PA 18104-6704 | 2020-10-01 |
| 1457801839 | Pa Foot and Ankle Associates, LLC | Podiatrist | 2895 Hamilton Blvd, Suite 101, Allentown, PA 18104-6172 | 2016-10-10 |
| Find all providers in ALLENTOWN | ||||
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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.