DR. MICHAEL BARTON BRADLEY (NPI# 1457461733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457461733 |
Entity Type | Individual |
Full Name | DR. MICHAEL BARTON BRADLEY |
Credential | M.D. |
Practice Address |
3185 W State St Suite 2010 Bristol TN 37620-1610 |
Practice Telephone | 4239687555 |
Practice Fax Number | 4239687641 |
Mailing Telephone | 4239687555 |
Mailing Fax Number | 4239687641 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 0101056321 | VA | Allopathic & Osteopathic Physicians |
Y | 207W00000X | Ophthalmology | 29086 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS BLUE SHIELD | 3064606 | 01 |
VA | ANTHEM | 382476 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487179396 | Michael Bradley | Driver | 1202 Taylor St, Fredericksburg, VA 22401-2664 | 2017-08-11 |
1346438231 | Michael E Bradley | Occupational Therapist | 4179 Woodley Creek Rd, Jacksonville, FL 32218-9185 | 2007-10-04 |
1225131444 | Michael James Bradley | Ophthalmology | 11820 S State St, Draper, UT 84020-7133 | 2006-09-06 |
1982250411 | Michael Bradley | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-12 |
1841758604 | Michael Bradley | Counselor | 815 Grandview Rd, Oil City, PA 16301-2077 | 2019-03-11 |
1386091346 | Michael Bradley | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-05-19 |
1770954166 | Michael Bradley | Behavioral Analyst | 1469 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-10-12 |
1265860878 | Michael Shane Bradley | Physician Assistant | 404 Shoppers Dr, Winchester, KY 40391-1378 | 2013-10-16 |
1922270644 | Michael Joseph Bradley | Internal Medicine | 7101 Jahnke Rd, Hca, Richmond, VA 23225 | 2008-04-02 |
1972771293 | Michael Douglas Bradley | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2008-02-20 |
Street Address |
3185 W STATE ST SUITE 2010 |
City | BRISTOL |
State | TN |
Zip Code | 37620-1610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245340603 | Mountain Empire Cataract & Eye Surgery Center | Clinic/Center | 3185 W State St, Suite 2020, Bristol, TN 37620-1610 | 2006-08-30 |
1851545677 | Joshua Aaron Hicks | Ophthalmology | 3185 W State St, Suite 2010, Bristol, TN 37620-1600 | 2008-11-06 |
1558529552 | Jennifer A. Henson | Audiologist | 3185 W State St, Suite 2010, Bristol, TN 37620-1610 | 2008-05-27 |
1306956776 | Jeffrey William Bunning | Ophthalmology | 3185 W State St, Suite 2010, Bristol, TN 37620-1610 | 2006-08-30 |
1083724371 | Joseph Armstrong | Ophthalmology | 3185 W State St, Suite 2010, Bristol, TN 37620-1610 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
Find all providers in zip 37620 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902291859 | Brent Aebi | Ophthalmology | 3185 W State St Ste 2010, Bristol, TN 37620-1600 | 2015-03-30 |
1609969682 | Mountain Empire Eye Physicians Pllc | Ophthalmology | 3185 West State Street, Suite 2010, Bristol, TN 37620 | 2006-10-02 |
1447352984 | Paul Edmund Sydlowski | Ophthalmology | 576 Metacom Ave, Unit 11a, Bristol, RI 02809-5100 | 2006-09-04 |
1588671879 | Paul C Keenan Jr. | Ophthalmology | 216 Mill St, Bristol, PA 19007-4809 | 2006-08-01 |
1336154087 | Century Eye Care Ltd | Ophthalmology | 216 Mill Street, Bristol, PA 19007 | 2006-07-30 |
1093749996 | Steven Hunter | Ophthalmology | 641 Farmington Ave, Bristol, CT 06010-3953 | 2006-07-10 |
1851545677 | Joshua Aaron Hicks | Ophthalmology | 3185 W State St, Suite 2010, Bristol, TN 37620-1600 | 2008-11-06 |
1659560902 | Paul E Sydlowski Md LLC | Ophthalmology | 576 Metacom Ave, Unit 11a, Bristol, RI 02809-5100 | 2007-10-22 |
1508052093 | Bristol Eye Associates PC | Ophthalmology | 156 Farmington Ave, Bristol, CT 06010-4218 | 2007-09-19 |
1639372345 | Christopher John Russo | Ophthalmology | 641 Farmington Ave, Bristol, CT 06010-3953 | 2007-06-08 |
Find all providers in BRISTOL |
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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.