BRADLEY MICHAEL SMITH (NPI# 1497034995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497034995 |
Entity Type | Individual |
Full Name | BRADLEY MICHAEL SMITH |
Credential | A.T.P. |
Practice Address |
6209 Trail Lake Dr Fort Worth TX 76133-3405 |
Practice Telephone | 8177933773 |
Mailing Telephone | 8177933773 |
Enumeration Date | 2011-08-15 |
Last Update Date | 2011-08-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
ATP13910 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851952790 | Bradley Colin Smith | Dentist | 1900 14th St Ste C, Plano, TX 75074-6426 | 2019-06-21 |
1164904017 | Bradley Levi Smith | Counselor | 303 Hermitage Rd, Pineville, LA 71360-2623 | 2018-09-06 |
1013495308 | Bradley Gene Smith | Speech-Language Pathologist | 3410 Worth St Ste 760, Dallas, TX 75246-2005 | 2018-07-30 |
1821449000 | Bradley Smith | Counselor | 8420 Fordham Rd, Apt 2, Los Angeles, CA 90045-2581 | 2016-06-28 |
1669837662 | Bradley R Smith | Specialist/Technologist | Berea College Cpo 2187, Berea, KY 40404-0001 | 2015-12-18 |
1164725610 | Bradley Dean Smith | Orthotist | 813 Carman Ave Unit A, Westbury, NY 11590-6447 | 2010-12-06 |
1306162151 | Bradley Howard Smith | Preventive Medicine | 340 Hulsa Rd, Naval Aerospace Medical Institute, Pensacola, FL 32508-1092 | 2010-04-19 |
1639387863 | Bradley M. Smith | Dentist | 401 Harding Way W, Galion, OH 44833-1611 | 2007-05-20 |
1902928047 | Bradley J Smith | Family Medicine | 400 Enterprise Dr Fl 2, Limerick, PA 19468-1224 | 2007-04-06 |
1366582512 | Bradley J. Smith | Chiropractor | 22230 75th St, Salem, WI 53168-9465 | 2007-02-07 |
Street Address |
6209 TRAIL LAKE DR |
City | FORT WORTH |
State | TX |
Zip Code | 76133-3405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
Find all providers in zip 76133 |
Taxonomy Code | 225CA2400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Counselor |
Specialization | Assistive Technology Practitioner |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932711264 | Briyet Sigala | Rehabilitation Counselor | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2020-08-18 |
1841571130 | Patricia Ellen Deemer | Rehabilitation Counselor | 3515 Nw Jim Wright Fwy, Fort Worth, TX 76106-3200 | 2011-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538632435 | Patrick Brian Boardman | Rehabilitation Counselor | 4606 Sunrise Dr, Missouri City, TX 77459-4522 | 2019-01-03 |
1932603511 | Gerad Parker Howard | Rehabilitation Counselor | 1860 S Seguin Ave # B1, New Braunfels, TX 78130-3914 | 2018-03-20 |
1427407436 | Byron Wallace | Rehabilitation Counselor | 8501 Forsythia Dr, Mckinney, TX 75070 | 2016-06-09 |
1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
1144596297 | Chase Bruton | Rehabilitation Counselor | 1629 Wyoming Ave, San Angelo, TX 76904-7152 | 2012-03-22 |
1215224936 | Rajesh B Amin | Rehabilitation Counselor | 2049 W Walnut Hill Ln, Irving, TX 75038-4404 | 2011-07-01 |
1912290099 | Roel Mario Johnson | Rehabilitation Counselor | 805 N Glenwood Blvd, Tyler, TX 75702-5033 | 2011-05-23 |
1225320492 | Fred J Urbanovsky | Rehabilitation Counselor | 2307 Walsh Dr, Round Rock, TX 78681-1437 | 2011-05-06 |
1982895991 | Tammy Compere | Rehabilitation Counselor | 1070 Arion Cir, Suite 164, San Antonio, TX 78216-2838 | 2007-08-05 |
1629678032 | Kelly Ann Blessing | Rehabilitation Counselor | 2111 Fm 1960 Rd E, Humble, TX 77338-5229 | 2020-10-27 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76133 |
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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.