BRADLEY MARTIN


Address: 2630 Central Ave, Eielson Afb, AK 99702-2301
Phone: 9073776670

BRADLEY MARTIN (NPI# 1689274664) 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) 1689274664
Entity Type Individual
Full Name BRADLEY MARTIN
Practice Address 2630 Central Ave
Eielson Afb
AK 99702-2301
Practice Telephone 9073776670
Enumeration Date 2020-10-28
Last Update Date 2020-10-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist Dental Providers

Other Providers BRADLEY MARTIN

NPI Name Taxonomy Address Enumeration
1114536737 Bradley Martin Nurse Practitioner 31 M St Apt 110, Salt Lake City, UT 84103-3846 2020-07-29
1467006916 Bradley Martin Student in an Organized Health Care Education/Training Program 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 2019-08-01
1124398631 Bradley A Martin Speech-Language Pathologist 509 Hummingbird Cv, Jonesboro, AR 72404-8516 2012-01-01
1851693659 Bradley Eugene Martin Contractor 8414 Meadow Green Way, Gaithersburg, MD 20877-3741 2010-11-30
1841249489 Bradley Martin Physician Assistant 1014 Biglane Drive, Brookhaven, MS 39601 2006-05-10
1639788086 Bradley Martin Counselor 11027 Burbank Blvd, North Hollywood, CA 91601-2431 2020-07-30
1144729153 Bradley Neal Martin Social Worker 3809 Rosewood Dr, Columbia, SC 29205-3533 2018-02-05
1518481522 Bradley Martin Physical Therapist 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 2017-08-01
1376078212 Bradley Nelson Martin Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2017-04-28
1992163638 Bradley Martin Counselor 1 Veterans Dr, Minneapolis, MN 55417-2309 2016-02-09

Office Location

Street Address 2630 CENTRAL AVE
City EIELSON AFB
State AK
Zip Code 99702-2301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578545109 Robert Greg Patterson Family Medicine 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702-2325 2005-11-18
1891395802 Kaleb Hatfield Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1346840329 Stephanie Danielle Rowe Dental Assistant 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1851991855 Cody Scott Lemon Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1578189387 Eric Dylan Mason Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-06-18
1912546524 Susan Liebig Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2019-12-30
1639724636 Sandra Muniz Licensed Practical Nurse 2630 Central Ave, Eielson Afb, AK 99702-2301 2019-08-06
1104393446 Matthew Gray Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2018-10-24
1952885121 Anthony Ewell-kollmann Dentist 2630 Central Ave, Eielson Afb, AK 99702 2018-09-24
1366980260 Michelle Marie Ely Social Worker 2630 Central Ave, Eielson Afb, AK 99702-2301 2017-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174864904 Eric Noll Optometrist 2630 Central Ave # 3349, Eielson Afb, AK 99702 2013-03-04
1407125123 Optical Center Technician/Technologist 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 2011-12-27
1063649234 John Michael Strothenke Military Health Care Provider 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 2009-06-16
1225272073 Landru Derek Medvec Military Health Care Provider 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 2009-04-23
1780875617 Victoria L Ketchum Specialist E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 2007-08-06
1689768103 Angie M. Walker Social Worker 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 2006-10-02
1306945464 354th Medical Group Mdg Military/U.S. Coast Guard Pharmacy Bldg 3349 Central Ave, Eielson Afb, AK 99702 2006-09-22
1760442297 Susan Mary Runyan Dietitian, Registered 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 2006-03-27
1972166916 Andrew Joseph Colburn Registered Nurse 2630 Central Ave # 3349, Eielson Afb, AK 99702 2019-04-16
1306375704 Robert Marshall Walter Dentist 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 2017-06-08
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891395802 Kaleb Hatfield Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1811597990 Thomas A Mccarthy II Dental Hygienist 2630 Central Ave Ste 1m07, Attention: Dental Flight, Eielson Afb, AK 99702-2397 2020-10-28
1851991855 Cody Scott Lemon Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1912546524 Susan Liebig Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2019-12-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831722198 Sarah Carter Dental Hygienist 36721 Saint Theresa Rd, Soldotna, AK 99669-8653 2020-02-14
1619487808 Elisabeth Turner Dental Hygienist 6611 Debarr Rd Ste 100, Anchorage, AK 99504-1706 2017-10-03
1801335856 Meridian Dental, LLC Dental Hygienist 3465 E Meridian Park Loop Ste C, Wasilla, AK 99654-7264 2017-02-22
1003268657 Brandy Tristan Dental Hygienist Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 2016-07-07
1679922496 Karen Peters Dental Hygienist 600 Richardson Dr, Bld. # 634, Fort Richardson, AK 99505-8310 2016-06-13
1396116182 Kelly Adrian Dental Hygienist 19436 Laura Lee Cir, Eagle River, AK 99577-8415 2015-10-19
1679909253 Kjerstena Elizabeth Yocum Dental Hygienist 215 Front Street, Wrangell, AK 99929 2013-09-16
1356600886 Di Ann Thain Dental Hygienist 7300a Klawock-hollis Hwy, Klawock, AK 99925 2012-05-03
1134497936 Barbara J Sylvester Dental Hygienist 122 First Ave Suite 600, Fairbanks, AK 99707-2585 2011-12-07
1881970184 Laura M Greer Dental Hygienist 8150 Northwind Ave # B, Anchorage, AK 99504-4141 2011-10-31
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Competitor

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City EIELSON AFB
Zip Code 99702

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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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