MR. BRADLEY THOMAS MARCINEK (NPI# 1477077220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477077220 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY THOMAS MARCINEK |
| Credential | PA-C |
| Practice Address |
185 Pilgrim Rd Boston MA 02215-5324 |
| Mailing Address |
250 Main St. Po Box 425846 Cambridge MA 02142-9998 |
| Practice Telephone | 6176327246 |
| Mailing Telephone | 5164100372 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA6222 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
185 PILGRIM RD |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193851 | David Eli Leeman | Internal Medicine | 185 Pilgrim Rd, Baker 4, Boston, MA 02215-5324 | 2005-09-07 |
| 1669084141 | Alyssa Jeanne Kuba | Registered Nurse | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-08-17 |
| 1780209890 | Sarah Hannah Lawrence | Registered Nurse | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-06-15 |
| 1740805829 | Elizabeth Kelsey Macneil | Nurse Practitioner | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-06-14 |
| 1912529306 | Juan Trinidad Ceja Solorio | Student in an Organized Health Care Education/Training Program | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-05-08 |
| 1891316477 | Kevin Buczkowski | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-05-05 |
| 1013536671 | Corey Paul Rainboth | Counselor | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-04-14 |
| 1821623042 | Justine Delpriore | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-03-09 |
| 1841825023 | Marie Ayabe | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-03-07 |
| 1093354466 | Katherine Germak | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1255853917 | Jessica Amy Casper | Physician Assistant | 110 Francis St., Lmob Suite 3b, Beth Israel Deaconess Medical Center, Neurosurgery Dept, Boston, MA 02215 | 2017-07-13 |
| 1760884688 | Brian Patrick Abbott | Physician Assistant | 17 Tileston St, Apt 4, Boston, MA 02113-1950 | 2014-09-23 |
| 1043489560 | Pamela Veronica Maingon | Physician Assistant | 20 Lime St Apt 2, Boston, MA 02108-1117 | 2008-02-28 |
| 1962558585 | Lori Heather Sinclair | Physician Assistant | Mass General Hospital 55 Fruit Street, Cox 630, Boston, MA 02114 | 2007-01-26 |
| 1013531789 | Jillian Hamlin | Physician Assistant | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-05-29 |
| 1578102455 | Madison Altwies | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-12-25 |
| 1205482551 | Kendra King | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-08-13 |
| 1124598396 | Rebecca Jayne Moriarty | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2018-11-30 |
| 1689151516 | Thomas Doucette | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2018-07-24 |
| Find all providers in BOSTON | ||||
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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.