CLASSIE BRADFORD (NPI# 1518491257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518491257 |
Entity Type | Individual |
Full Name | CLASSIE BRADFORD |
Practice Address |
810 Valencia St Jackson MS 39204-4744 |
Practice Telephone | 6014053831 |
Mailing Telephone | 6014053831 |
Enumeration Date | 2017-04-19 |
Last Update Date | 2017-04-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | MS | Emergency Medical Service Providers |
Street Address |
810 VALENCIA ST |
City | JACKSON |
State | MS |
Zip Code | 39204-4744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
Find all providers in zip 39204 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033506365 | Jennifer Kalash | Emergency Medical Technician, Basic | 11 Red Cedar Run, Jackson, NJ 08527-1349 | 2015-04-24 |
1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
1053717983 | John Siedler Iv | Emergency Medical Technician, Basic | 3 Vassar Ct, Jackson, NJ 08527-2342 | 2014-11-04 |
1538491295 | Daniel Bruce Harton | Emergency Medical Technician, Basic | 205 N East Ave, Jackson, MI 49201-1753 | 2010-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386189074 | William Paul Richards | Emergency Medical Technician, Basic | 2220 China Grove Rd, Vicksburg, MS 39180-7709 | 2017-01-04 |
1386061778 | Katherine Soldevila | Emergency Medical Technician, Basic | 830 South Glosser Street, Tupelo, MS 38801 | 2014-03-24 |
1679896658 | Bryan Ashley Breland I | Emergency Medical Technician, Basic | 85 App Slade Rd, Hattiesburg, MS 39401-8744 | 2010-03-05 |
1669955068 | Eric H Messenger | Emergency Medical Technician, Basic | 711 Poplar St, Clarksdale, MS 38614-4957 | 2018-09-11 |
1144592841 | Brandon Wade Saksa | Emergency Medical Technician, Basic | 14115 Fred and Al Key Rd, Kiln, MS 39556-8060 | 2012-01-27 |
1881991743 | Sunil Kumar | Emergency Medical Technician, Basic | 921 W Beacon St, Philadelphia, MS 39350-3229 | 2011-02-11 |
1356470983 | Vernon A Chase | Emergency Medical Technician, Basic | 176 S Main St, Pontotoc, MS 38863-3311 | 2007-03-02 |
1104900968 | Jon Stephen Ashley | Emergency Medical Technician, Basic | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-10-25 |
1386728152 | Jeffrey Lee Harden | Emergency Medical Technician, Basic | 1401 River Rd, Greenwood, MS 38930-4030 | 2006-10-25 |
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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.