MR. ROBERT LEE BRADFORD (NPI# 1669509196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669509196 |
| Entity Type | Individual |
| Full Name | MR. ROBERT LEE BRADFORD |
| Credential | P.A.-C |
| Practice Address |
508 Gordon Ave Thomasville GA 31792-6646 |
| Practice Telephone | 2292260125 |
| Practice Fax Number | 2292260195 |
| Mailing Telephone | 2292260125 |
| Mailing Fax Number | 2292260195 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2799 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002033 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001321A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285839761 | Robert Frank Bradford Jr. | Dentist | 5075 Hwy 31 Unit B, Calera, AL 35040 | 2007-06-15 |
| 1811074099 | Robert C Bradford | Pharmacist | 311 Mockingbird Ln, Weatherford, TX 76086-6011 | 2006-11-01 |
| 1992335236 | Robert Bradford | Case Manager/Care Coordinator | 2910 Evangeline St, Monroe, LA 71201-3724 | 2020-01-24 |
| 1023661964 | Robert Chase Bradford | Physical Therapy Assistant | 209 Evans Ave, Mount Sterling, KY 40353-9700 | 2019-07-19 |
| 1093030561 | Robert W Bradford | Social Worker | 410 University Pkwy, Suite 2300, Aiken, SC 29801-6807 | 2010-03-29 |
| 1871557165 | Robert Steward Bradford | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-04-13 |
| Street Address |
508 GORDON AVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357087 | Jennifer Lynn Delarber | Physician Assistant | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2005-09-20 |
| 1538693197 | Amgir, Inc. | Radiology | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2017-04-20 |
| 1659825420 | Crystal Hester | Physician Assistant | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2016-08-10 |
| 1356584742 | Daniel & Yokley, PC | Radiology | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2009-04-14 |
| 1881771509 | Hometown Homecare LLC | Durable Medical Equipment & Medical Supplies | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2006-11-01 |
| 1437192846 | Laura Shores | Specialist | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2006-06-14 |
| 1629038096 | Timothy B Daniel | Radiology | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2006-03-28 |
| 1659348613 | Craig A Yokley | Radiology | 508 Gordon Ave, Thomasville, GA 31792-6646 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168030 | Valerie L Bush | Physician Assistant | 100 Mimosa Dr 2nd Floor, Thomasville, GA 31792-6676 | 2006-01-13 |
| 1679062442 | Jonathan Heidkamp | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792-4875 | 2018-05-07 |
| 1184120818 | Catherine W Howell | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2018-04-02 |
| 1205334737 | Katherine Love Edelen | Physician Assistant | 100 S Madison St, Thomasville, GA 31792-5473 | 2018-01-30 |
| 1356877328 | Edie Willis | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-05-11 |
| 1922453158 | Waqas Tariq | Physician Assistant | 207 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-04-25 |
| 1063892974 | Deuel Mcelreath Iv | Physician Assistant | 334 Smith Ave, Thomasville, GA 31792-5533 | 2015-06-05 |
| 1689827255 | Mary E Woolfolk | Physician Assistant | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2008-10-28 |
| 1073698031 | Ronald Lindquist | Physician Assistant | 112 Mimosa Dr, Thomasville, GA 31792-6605 | 2006-10-26 |
| 1215956719 | Nancy M Joyce | Physician Assistant | 1302 Lexington Ave, Thomasville, NC 27360-3419 | 2006-07-18 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on MR. ROBERT LEE BRADFORD.
| 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.