SCOTT BRADBERRY (NPI# 1548738768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548738768 |
| Entity Type | Individual |
| Full Name | SCOTT BRADBERRY |
| Credential | CST, CSFA |
| Practice Address |
9020 Greyhawk Rd Amarillo TX 79119-7510 |
| Practice Telephone | 8066748365 |
| Mailing Telephone | 8066748365 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9020 GREYHAWK RD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922400787 | Sean T Daly | Specialist/Technologist, Other | 7000 Sw 9th Ave, Amarillo, TX 79106-1709 | 2014-09-23 |
| 1629378617 | Cliff Jay Walter | Specialist/Technologist, Other | 1600 Wallace Boulevard, Amarillo, TX 79106 | 2010-10-25 |
| 1356651798 | Sandra Gayle Hunton | Specialist/Technologist, Other | 1501 S, Coulter, Department of Surgery, Nwths, Amarillo, TX 79106 | 2010-10-19 |
| 1316568173 | Trudy Lee Cates | Specialist/Technologist, Other | 1901 Medi Park Dr Ste 1, Amarillo, TX 79106-2110 | 2020-05-04 |
| 1366957706 | Malcolm Eric Nash | Specialist/Technologist, Other | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2017-12-07 |
| 1366833790 | Niki Oehlert | Specialist/Technologist, Other | 11 Medical Dr, Amarillo, TX 79106-4137 | 2015-02-06 |
| 1275843377 | Kenneth Todd Virden | Specialist/Technologist, Other | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2010-10-07 |
| 1538479639 | Julie Ann Virden | Specialist/Technologist, Other | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366791 | Erich Wittmer | Specialist/Technologist, Other | 2301 Links Dr, Edinburg, TX 78542-4542 | 2020-11-04 |
| 1366043705 | Patricia Vincenty-marquez | Specialist/Technologist, Other | 11308 Culberson Dr, Aubrey, TX 76227-8050 | 2020-11-03 |
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1881294866 | Cynthia Alonzo | Specialist/Technologist, Other | 3800 Gaylord Pkwy Ste 410, Frisco, TX 75034-9419 | 2020-10-28 |
| 1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
| 1225636103 | Daniel Martin Cornejo Navarro | Specialist/Technologist, Other | 25157 Resaca Santa Dr, San Benito, TX 78586-8889 | 2020-10-13 |
| 1497353593 | Jose De Jesus Alvarado Veloz | Specialist/Technologist, Other | 216 Mango Rd, El Paso, TX 79915-4314 | 2020-10-12 |
| 1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1871100735 | Helpinghandsbyterri, LLC | Specialist/Technologist, Other | 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SCOTT BRADBERRY.
| 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.