LAURA E BRADLEY (NPI# 1548200843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548200843 |
| Entity Type | Individual |
| Full Name | LAURA E BRADLEY |
| Credential | PAC |
| Practice Address |
1540 Spring Valley Dr Huntington WV 25704-9300 |
| Practice Telephone | 6069222316 |
| Mailing Telephone | 6069222316 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA456 | KY | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA456 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95001376 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1689152795 | Laura Anne Bradley | Physician Assistant | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-07-31 |
| 1902359607 | Laura Bradley | Physician Assistant | 480 4th Ave, Suite 307, Chula Vista, CA 91910-4410 | 2016-07-28 |
| 1326402827 | Laura Bradley | Social Worker | 2500 Overlook Ter, Mail Code 122, Madison, WI 53705-2254 | 2016-04-11 |
| 1922427673 | Laura Bradley | Behavioral Analyst | 85 Old Eagle School Rd, Strafford, PA 19087-2556 | 2014-04-09 |
| 1477998672 | Laura Marie Bradley | Obstetrics & Gynecology | 5425 W Spring Creek Pkwy Ste 280, Plano, TX 75024-4321 | 2013-05-02 |
| 1518214089 | Laura Bradley | Pharmacist | 2290 Nicholasville Rd, Lexington, KY 40503-2418 | 2012-08-14 |
| 1194958066 | Laura Selden Bradley | Registered Nurse | 12200 Warwick Blvd, Ste 410, Newport News, VA 23601-2548 | 2009-08-26 |
| Street Address |
1540 SPRING VALLEY DR |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25704-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932785 | George R Beneke | Urology | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2005-06-20 |
| 1124628284 | Tyler Bryce Gainer | Physical Therapist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-10-28 |
| 1912506643 | Benjamin Legg | Counselor | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-10-23 |
| 1982201828 | Darlene Kimberly Baker | Nurse Practitioner | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-10-05 |
| 1073129565 | Emily Paige Davis | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-09-20 |
| 1306457007 | Abbigael Preston Baum | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-08-14 |
| 1154932580 | Megan Christine Blackburn | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-08-10 |
| 1376154898 | Jacob Lomax | Pharmacist | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-08-10 |
| 1528685948 | Madison Abbey Gallian | Student in an Organized Health Care Education/Training Program | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-07-01 |
| 1275150047 | Roger Mark Booth Jr. | Nurse Practitioner | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354161 | Sherry Jean Short | Technician | 315 1/2 W 13th Street, Huntington, WV 25704 | 2020-10-22 |
| 1063029940 | Kathern Sullivan | Technician | 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 | 2020-09-25 |
| 1932713229 | John Webb | Technician | 3717 Lot 17 Rte. 75, Huntington, WV 25704 | 2020-09-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1538662457 | Abayomi Adeyi | Nurse Practitioner | Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 | 2018-03-16 |
| 1851807242 | Shirley Meldave Ross | Technician | 1591 Buffalo Creek Road, Huntington, WV 25704 | 2017-12-20 |
| 1245772045 | Emily Marie Miller | Massage Therapist | 3637 Hughes St, Huntington, WV 25704 | 2016-11-09 |
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| Find all providers in zip 25704 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294520 | Emily Lisanti | Physician Assistant | 17 Grandview St, Huntington, NY 11743-3534 | 2020-08-06 |
| 1194342667 | Alexandra J Fitts | Physician Assistant | 9 Sherman St, Huntington, NY 11743-6241 | 2020-07-01 |
| 1851850762 | Adam Phillip Otworth | Physician Assistant | 2900 1st Ave Rm 228, Huntington, WV 25702-1241 | 2019-03-19 |
| 1376001628 | Elise Frances Lacarrubba | Physician Assistant | 5 E Huxley Dr, Huntington, NY 11743-1009 | 2019-03-06 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1477800977 | Patrick Shannon Lee | Physician Assistant | Attn: Tammie Silva, 1340 Hal Greer Boulevard, Huntington, WV 25701-3800 | 2012-08-14 |
| 1134430184 | Jennifer Louise Hofmann | Physician Assistant | 15 Greenhill Ln, Huntington, NY 11743-5818 | 2010-06-24 |
| 1356581466 | Anna M Kowalczyk | Physician Assistant | 24 Bartlett Pl, Huntington, NY 11743-3702 | 2009-03-02 |
| 1952520496 | Carol Schachter | Physician Assistant | 180 East Pulaski Road, Huntington, NY 11746 | 2007-04-24 |
| 1598856536 | Kimberly A Bastible | Physician Assistant | 18 Harmony Rd, Huntington, NY 11743-2316 | 2006-09-27 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25704 |
Please comment or provide details below to improve the information on LAURA E BRADLEY.
| 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.