MS. SANDRA KAY BRADLEY


Address: 1604 Rock Prairie Rd, College Station Medical Center-nicu, College Station, TX 77845-8395
Phone: 9797645115

MS. SANDRA KAY BRADLEY (NPI# 1679584635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679584635
Entity Type Individual
Full Name MS. SANDRA KAY BRADLEY
Credential RNC, BSN, NNP
Practice Address 1604 Rock Prairie Rd
College Station Medical Center-nicu
College Station
TX 77845-8395
Practice Telephone 9797645115
Practice Fax Number 9797645268
Mailing Telephone 9797645115
Mailing Fax Number 9797645268
Enumeration Date 2006-08-11
Last Update Date 2007-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
544245 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 96185602 05

Other Providers SANDRA BRADLEY

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1114152592 Sandra L Bradley Counselor 2940 Cavendish Dr, Los Angeles, CA 90064-4614 2009-05-28
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Office Location

Street Address 1604 ROCK PRAIRIE RD
COLLEGE STATION MEDICAL CENTER-NICU
City COLLEGE STATION
State TX
Zip Code 77845-8395

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043211394 Craig K Steiner Specialist 1604 Rock Prairie Rd, College Station, TX 77845-8395 2005-08-09
1568086171 Katie Ann Jones Pharmacist 1604 Rock Prairie Rd, College Station, TX 77845-8345 2020-05-31
1285265256 Cody Rapp Nurse Anesthetist, Certified Registered 1604 Rock Prairie Rd, College Station, TX 77845-8345 2020-01-29
1053963009 St. Joseph Regional Health Center General Acute Care Hospital 1604 Rock Prairie Rd, College Station, TX 77845-8345 2019-07-10
1972083509 Cc Ems, Pllc Emergency Medicine 1604 Rock Prairie Rd, College Station, TX 77845-8345 2018-08-14
1659851293 Cc Hms Tx, Pllc Hospitalist 1604 Rock Prairie Rd, College Station, TX 77845-8345 2018-08-14
1669991162 Island Medical College Station, Pllc Emergency Medicine 1604 Rock Prairie Rd, College Station, TX 77845-8345 2017-09-15
1679092456 Island Medical Hospitalist College Station, Pllc Hospitalist 1604 Rock Prairie Rd, College Station, TX 77845-8345 2017-09-13
1538559125 Riteshkumar Patel Internal Medicine 1604 Rock Prairie Rd, College Station, TX 77845-8345 2015-02-03
1205233970 Anand Alexander Internal Medicine 1604 Rock Prairie Rd, College Station, TX 77845-8345 2014-11-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518503101 Aggieland Urgent Care Pllc Clinic/Center 13055 Fm 2154 Rd, College Station, TX 77845 2019-11-19
1770053399 Alyssa Nicole Sanchez Licensed Vocational Nurse 4030 Hwy 6 S 150, College Station, TX 77845 2018-11-27
1154805778 Medical Care Innovation, P.C. Clinic/Center 200 Quality Circle, College Station, TX 77845 2018-09-19
1003302530 Kaye Lynn Tseng Registered Nurse 4030 Hightway 6 South, College Station, TX 77845 2018-07-09
1083117907 College Station Dentistry and Orthodontics Pllc Dentist 11671 Fm 2154, Suite 400, College Station, TX 77845 2018-03-16
1912409954 H-e-b, Lp Clinical Medical Laboratory 11675 Fm 2154, College Station, TX 77845 2018-03-06
1871095745 Gregory Nicholas Perry Physical Therapist 4091 Sh 6 South, Suite B, College Station, TX 77845 2018-03-06
1811435639 Michael Patke Student in an Organized Health Care Education/Training Program 10613 Deer Run Dr., College Station, TX 77845 2017-02-01
1558810473 Sara Beth Williamson Nurse Practitioner 4401 State Hwy 6 S, College Station, TX 77845 2016-10-04
1881067379 Kieshia Lewis Occupational Therapy Assistant 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 2015-11-05
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447266457 Suzanne N. Backenstose Nurse Practitioner 1604 Rock Prairie Road, College Station Medical Center, College Station, TX 77845-8345 2006-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114552916 Wonderfully Made Wellness Sanctuary Nurse Practitioner 105 S. Tennessee Street Suite 102, Mckinney, TX 75069 2020-03-12
1538793161 Torey Shay Cortez Nurse Practitioner 762 Annette Dr, Fort Worth, TX 76108-4562 2020-02-21
1356672679 Margaret Mary Brown Nurse Practitioner 2322 Sycamore Trl, Round Rock, TX 78664-7766 2010-01-26
1245330018 Perlita Molina Sambrano-tandoc Nurse Practitioner 602 East Indiana Avenue, Lubbock, TX 79415 2006-09-22
1013923051 Gina Marie Harris Nurse Practitioner 601 E 15th St # L502, Austin, TX 78701-1930 2006-07-31
1306889977 Laura Jean Isaacson Nurse Practitioner 1819 La Branch St, Houston, TX 77002-8319 2006-06-13
1538124086 Michael Lalli Nurse Practitioner 1303 Pennsylvania Ave, Fort Worth, TX 76104-2122 2006-04-19
1447213293 Donna R Enderle Nurse Practitioner Baylor Hospital - 3 Hob, 3500 Gaston Avenue, Dallas, TX 75248 2006-04-11
1922061266 Mark Vollmer Nurse Practitioner 2511 Burlington Blvd, Dallas, TX 75211-5322 2006-04-08
1609482884 Tiffani Christensen Nurse Practitioner 801 7th Ave, Fort Worth, TX 76104-2796 2020-09-22
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Competitor

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City COLLEGE STATION
Zip Code 77845

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Dataset Information

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.

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