MR. ALBERT BARTON BRADLEY (NPI# 1649685397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649685397 |
| Entity Type | Individual |
| Full Name | MR. ALBERT BARTON BRADLEY |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
1479 Ygnacio Valley Rd # 200 Walnut Creek CA 94598-2986 |
| Mailing Address |
1450 Treat Blvd # 300 Walnut Creek CA 94597-2168 |
| Practice Telephone | 9252967340 |
| Practice Fax Number | 9252969042 |
| Mailing Telephone | 9259522888 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
521760 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95001908 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
95001908 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2700 Grant St Ste 200, Concord, CA 945202270 | 9256879650 |
| Street Address |
1479 YGNACIO VALLEY RD # 200 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366557217 | Drew B Schembre | Internal Medicine | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598 | 2006-08-20 |
| 1861852717 | Alice Choi | Nurse Practitioner | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598-2986 | 2016-03-03 |
| 1811230147 | Theodore Anthony Tollivoro | Internal Medicine | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598-2986 | 2013-04-04 |
| 1083845598 | Shireen Ghorbani | Internal Medicine | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598-2986 | 2009-07-31 |
| 1700070273 | Piyush Aggarwal | Colon & Rectal Surgery | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598 | 2007-08-28 |
| 1942385851 | Samuel S Oommen | Surgery | 1479 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701853 | Elise Janine Lee | Nurse Practitioner | 355 Lennon Ln Ste 150, Walnut Creek, CA 94598-2475 | 2019-07-04 |
| 1922667500 | Holly Elizabeth Bennett | Nurse Practitioner | 1400 Treat Blvd, Walnut Creek, CA 94597-2142 | 2019-06-07 |
| 1427502004 | Katasha Taylor | Nurse Practitioner | 2123 Ygnacio Valley Rd # 200, Walnut Creek, CA 94598-3395 | 2016-08-11 |
| 1184055295 | Benjamin Moret | Nurse Practitioner | 2123 Ygnacio Valley Rd Ste 200, Walnut Creek, CA 94598-3395 | 2013-11-29 |
| 1700135365 | Douglas Bradwell Connor | Nurse Practitioner | 400 Mayhew Way, Walnut Creek, CA 94598-1046 | 2012-08-29 |
| 1669616587 | Desiree Elizabeth Allyn | Nurse Practitioner | 572 Churchill Downs Ct, Walnut Creek, CA 94597-7600 | 2009-04-22 |
| 1124206453 | Myhanh Pham Nguyen | Nurse Practitioner | 122 La Casa Via Ste 120, Walnut Creek, CA 94598-3019 | 2008-02-08 |
| 1477747707 | Clarissa Fago | Nurse Practitioner | 2878 Ygnacio Valley Rd, Walnut Creek, CA 94598 | 2007-08-29 |
| 1205922630 | Cheri L Arbizu | Nurse Practitioner | 1776 Ygnacio Valley Rd 201, Walnut Creek, CA 94598-3125 | 2006-10-05 |
| 1982680864 | Janice Dolan | Nurse Practitioner | 1881 Stratton Cir, Walnut Creek, CA 94598-2273 | 2005-12-21 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on MR. ALBERT BARTON 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.