BRADLEY I. ROTH (NPI# 1629219316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629219316 |
Entity Type | Individual |
Full Name | BRADLEY I. ROTH |
Credential | D.O. |
Practice Address |
1601 S Andrews Ave Fl 2 Fort Lauderdale FL 33316-2509 |
Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
Practice Telephone | 9543553490 |
Practice Fax Number | 9543553498 |
Mailing Telephone | 9543553490 |
Mailing Fax Number | 9543553498 |
Enumeration Date | 2009-03-10 |
Last Update Date | 2019-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | OS 10192 | FL | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 47451 | CO | Allopathic & Osteopathic Physicians |
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
OS10192 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699709048 | Bradley J Roth | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345-1203 | 2006-07-10 |
1265061493 | Bradley Paul Roth | Student in an Organized Health Care Education/Training Program | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2020-04-08 |
1386114015 | Bradley William Roth | Marriage & Family Therapist | 100 Bank St Ste 306, Seymour, CT 06483-2806 | 2018-11-26 |
Street Address |
1601 S ANDREWS AVE FL 2 |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33316-2509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013278738 | North Broward Hospital District | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2012-05-30 |
1063679553 | Jason Anthony Walters | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2008-05-21 |
1669666970 | Emily Mae Keener | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2007-08-29 |
1275564064 | Brian J Cross | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-07-06 |
1144258195 | North Broward Hospital District | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-06-29 |
1003864638 | Stephen M. Swirsky | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-05-05 |
1033174156 | Daniel R Kanell | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
Find all providers in zip 33316 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164586293 | Sein Lwin | Orthopaedic Surgery | 300 Se 17 Street, Suite 2r, Fort Lauderdale, FL 33316 | 2006-12-21 |
1013278738 | North Broward Hospital District | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2012-05-30 |
1669666970 | Emily Mae Keener | Orthopaedic Surgery | 1601 S Andrews Ave Fl 2, Fort Lauderdale, FL 33316-2509 | 2007-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275183972 | Medical Solutions | Orthopaedic Surgery | 353 Broyles Dr Se, Palm Bay, FL 32909-2355 | 2019-09-13 |
1235619727 | Ortho Florida, LLC | Orthopaedic Surgery | 4900 Bayou Blvd Ste 107, Pensacola, FL 32503-2543 | 2018-08-15 |
1467828228 | Transitional Care Medical Associates Inc. | Orthopaedic Surgery | 12989 Southern Blvd, Mod 3, Ste 202, Loxahatchee, FL 33470-9291 | 2015-08-17 |
1316243538 | Kevin Patrick O'halloran | Orthopaedic Surgery | 2943 Highway 77, Panama City, FL 32405-4411 | 2011-02-04 |
1396055299 | Raymond A Long | Orthopaedic Surgery | 341 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1788 | 2010-10-14 |
1396074316 | Diplomat Orthopaedic Group, P.a. | Orthopaedic Surgery | 10600 Griffin Road, Suite 104, Cooper City, FL 33328-3208 | 2009-12-22 |
1558525733 | John Thomas Riehl | Orthopaedic Surgery | 3298 Summit Blvd Ste 4, Pensacola, FL 32503-4350 | 2008-07-16 |
1386846871 | Lisa R Blackrick | Orthopaedic Surgery | 3627 University Blvd S Ste 550, Jacksonville, FL 32216-7401 | 2007-06-05 |
1275734766 | Daniel Bayon Chan | Orthopaedic Surgery | 1150 N 35th Ave Ste 130, Hollywood, FL 33021 | 2007-05-30 |
1093927451 | David Lee Smith Jr. | Orthopaedic Surgery | 5147 N 9th Ave Ste 103, Pensacola, FL 32504-8770 | 2007-05-05 |
Find all providers with the same taxonomy |
City | FORT LAUDERDALE |
Zip Code | 33316 |
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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.