DR. BRADLEY JAMES SHUDER (NPI# 1487764205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487764205 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY JAMES SHUDER |
| Credential | DDS |
| Practice Address |
549 E County Line Rd Suite G Greenwood IN 46143-1067 |
| Practice Telephone | 3178819364 |
| Practice Fax Number | 3178830881 |
| Mailing Telephone | 3178819364 |
| Mailing Fax Number | 3178830881 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12009045A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100131310A | 05 |
| Street Address |
549 E COUNTY LINE RD SUITE G |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790756443 | Marnie Jean Widdifield | Family Medicine | 549 E County Line Rd, Suite A, Greenwood, IN 46143-1067 | 2006-01-31 |
| 1417241480 | Kyle Timothy Netter | Physical Therapist | 549 E County Line Rd, Suite E, Greenwood, IN 46143-1067 | 2011-06-07 |
| 1730487398 | Paul John Rosiek | Audiologist | 549 E County Line Rd, Suite F, Greenwood, IN 46143-1067 | 2011-03-07 |
| 1871672220 | Physiotherapy Associates Inc | Clinic/Center | 549 E County Line Rd, Suite E, Greenwood, IN 46143-1068 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046876 | Top Dental Care LLC | Dentist | 41 N. Madison Ave, Greenwood, IN 46142 | 2020-05-29 |
| 1356836951 | Mfdc of Indiana, Inc | Dentist | 1642 Olive Branch Parke Ln Ste 700, Greenwood, IN 46143-5900 | 2018-06-26 |
| 1932582335 | Zachary A Campano Dds LLC | Dentist | 3001 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2015-07-02 |
| 1104246750 | Kenneth Adams Jr. | Dentist | 1759 Vidalia Ct, Greenwood, IN 46143-6946 | 2014-04-22 |
| 1801229224 | First Choice Dental of Greenwood | Dentist | 301 Montague Ave, Greenwood, SC 29649-1939 | 2013-08-21 |
| 1215201009 | Adam Weems | Dentist | 1705 Strong Ave Ste A, Greenwood, MS 38930-3923 | 2012-02-27 |
| 1871872317 | Dental Health Assoc of In PC | Dentist | 1642 Olive Branch Parke Ln, Suite 700, Greenwood, IN 46143-6447 | 2011-08-16 |
| 1740593342 | Maneesha R Chigurupati | Dentist | 3531 Streamside Dr, Greenwood, IN 46143-6745 | 2010-07-23 |
| 1144532318 | Kristin Stevens | Dentist | 5873 N State Road 135, Greenwood, IN 46143-5616 | 2010-07-05 |
| 1225268055 | Larry Michael Dyer | Dentist | 1320 Vicksburg South Dr, Greenwood, IN 46143-7791 | 2009-07-14 |
| Find all providers in GREENWOOD | ||||
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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.