BRADLEY LOUIS ROBERTS (NPI# 1548896178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548896178 |
| Entity Type | Individual |
| Full Name | BRADLEY LOUIS ROBERTS |
| Credential | RDCS |
| Practice Address |
725 S Wahanna Rd Seaside OR 97138-7735 |
| Practice Telephone | 2064748474 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
126846 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104063460 | Bradley Stephen Roberts | Dentist | 3047 E. Warm Springs Road, #200, Las Vegas, NV 89120 | 2009-01-08 |
| 1437292463 | Bradley Orr Roberts | Dentist | 1502 N Zaragoza Rd, El Paso, TX 79936-7905 | 2007-02-15 |
| 1609985316 | Bradley Roberts | Dentist | 6130 W Atlantic Blvd, Margate, FL 33063-5123 | 2006-08-29 |
| 1295701555 | Bradley Shawn Roberts | Physical Therapist | 571 Hammock Rd Nw, Suite 106, Milledgeville, GA 31061-7184 | 2006-02-27 |
| 1649277237 | Bradley Michael Roberts | Registered Nurse | 5340 Leith Dr, Billings, MT 59106-4010 | 2005-06-28 |
| 1497074025 | Bradley Wane Roberts | Dentist | 4 Professional Dr, Alton, IL 62002-5067 | 2010-05-21 |
| 1245431428 | Bradley Scott Roberts | Dentist | 5855 West Utopia Rd, Midwestern University College of Dental Medicine, Glendale, AZ 85308 | 2007-05-29 |
| Street Address |
725 S WAHANNA RD |
| City | SEASIDE |
| State | OR |
| Zip Code | 97138-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033100532 | Michael Paul Adler | Obstetrics & Gynecology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-11-02 |
| 1346803707 | Emmalee Thornton | Pharmacist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2019-04-20 |
| 1275011447 | Lynne Marie Heroux | Occupational Therapist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2018-07-31 |
| 1447702485 | Carol L Crowe | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-25 |
| 1093266769 | Providence Health & Services Oregon | Anesthesiology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-18 |
| 1134678972 | Carly Hall Haas | Nurse Practitioner | 725 S Wahanna Rd, Suite 230, Seaside, OR 97138-7735 | 2016-09-21 |
| 1154772911 | Karina Marie Squire | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-06-23 |
| 1093176471 | Amanda Washington | Physician Assistant | 725 S Wahanna Rd, Providence North Coast Clinic, Seaside, OR 97138 | 2016-03-14 |
| 1902264559 | Zachary Caverley | Physician Assistant | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-02-10 |
| 1689068033 | Kyle D Walker | Internal Medicine | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2015-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
| 1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
| 1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
| 1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
| 1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
| 1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
| Find all providers in zip 97138 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083926612 | Kan Di Ki, LLC | Radiology | 17744 Ne San Rafael St, Portland, OR 97230-5927 | 2010-07-12 |
| 1700856580 | Ultrasound Northwest of Oregon LLC | Radiology | 10570 Se Washington St, Suite 200, Portland, OR 97216 | 2006-01-25 |
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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.