CLASSIE BRADFORD


Address: 810 Valencia St, Jackson, MS 39204-4744
Phone: 6014053831

CLASSIE BRADFORD (NPI# 1518491257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic MS Emergency Medical Service Providers

Office Location

Street Address 810 VALENCIA ST
City JACKSON
State MS
Zip Code 39204-4744

Providers in the same zip code

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 Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City JACKSON
Zip Code 39204

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Dataset Information

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.

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