MARK W BRADFORD (NPI# 1548335938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548335938 |
| Entity Type | Individual |
| Full Name | MARK W BRADFORD |
| Credential | MD |
| Practice Address |
3624 Ensign Rd Ne Ste D Olympia WA 98506-5074 |
| Practice Telephone | 3604597713 |
| Practice Fax Number | 3604595441 |
| Mailing Telephone | 3604597713 |
| Mailing Fax Number | 3604595441 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137611 | Mark Bradford | Physician Assistant | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2006-06-03 |
| 1477555613 | Mark Larsen Bradford | Dentist | 2545 Ceanothus Ave, Ste 138, Chico, CA 95973-7611 | 2005-06-01 |
| 1295907707 | Mark A Bradford | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2008-03-25 |
| 1396867271 | Mark Lavelle Bradford | Psychologist | 309 N Jefferson Ave, Ste 245, Springfield, MO 65806-1108 | 2007-04-04 |
| Street Address |
3624 ENSIGN RD NE STE D |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578638979 | Frances C Andriacchi | Specialist | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2006-11-21 |
| 1619241346 | Mark W Bradford Md Inc Ps | Clinic/Center | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2012-02-27 |
| 1386940328 | Frances C Andriacchi Md Inc Ps | Clinic/Center | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972982346 | Troy M Kochel | Specialist | 1308 Conger Ave Nw, Olympia, WA 98502-4866 | 2015-05-19 |
| 1164824041 | Franklin Paudler | Specialist | 8509 Island View Ct Ne, Olympia, WA 98506-9741 | 2014-09-22 |
| 1164830766 | Sarah Beth Killion | Specialist | 805 W Bay Dr Nw, Olympia, WA 98502-4839 | 2014-07-27 |
| 1629480629 | Jamie R Murphy | Specialist | 2350 Cain Rd Se Apt 15, Olympia, WA 98501-3073 | 2014-05-24 |
| 1578975876 | Richele Renee Akers | Specialist | 1832 Fairview St Ne, Olympia, WA 98506-3488 | 2014-05-21 |
| 1457781544 | Joanna Isobel Williams | Specialist | 3403 Steamboat Island Rd Nw, Olympia, WA 98502-4876 | 2013-11-26 |
| 1447692413 | Emily Pixie | Specialist | 1959 Union Ave Se, Olympia, WA 98501-1851 | 2013-07-19 |
| 1649616954 | Erin Marie Adams | Specialist | 1317 4th Ave E, #b, Olympia, WA 98506-4245 | 2013-05-14 |
| 1376987347 | Brook Lynn Schales | Specialist | 8839 Quinault Loop Ne, Olympia, WA 98516-5912 | 2013-04-22 |
| 1942643069 | Sharlene D. Reed | Specialist | 2108 Olympia Ave Ne, Olympia, WA 98506-4745 | 2013-04-08 |
| Find all providers in OLYMPIA | ||||
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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.