BRADLEY EUGENE SCHLEENBAKER (NPI# 1699118042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699118042 |
| Entity Type | Individual |
| Full Name | BRADLEY EUGENE SCHLEENBAKER |
| Practice Address |
1388 S Navajo St Suite C Salt Lake City UT 84104-3493 |
| Mailing Address |
220 W 7200 S Suite A Midvale UT 84047-1043 |
| Practice Telephone | 8019552360 |
| Practice Fax Number | 8774974661 |
| Mailing Telephone | 8018583461 |
| Mailing Fax Number | 8019552389 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9195407-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1388 S NAVAJO ST SUITE C |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84104-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275822918 | Adelaide Robinson Slack | Family Medicine | 1388 S Navajo St, Suite C, Salt Lake City, UT 84104-3493 | 2011-04-04 |
| 1982162657 | Sandra Miranda | Dental Hygienist | 1388 S Navajo St, Salt Lake City, UT 84104-3493 | 2019-03-12 |
| 1720553324 | Richard Christian Montenegro | Physician Assistant | 1388 S Navajo St, Salt Lake City, UT 84104-3493 | 2018-10-10 |
| 1508236746 | Lee Rogers | Physician Assistant | 1388 S Navajo St, Salt Lake City, UT 84104-3493 | 2015-09-30 |
| 1255757670 | Community Health Centers, Inc. | Dental Hygienist | 1388 S Navajo St, Salt Lake City, UT 84104-3444 | 2014-03-10 |
| 1710301528 | Marcy Allison Wells Rogers | Dentist | 1388 S Navajo St, Suite C, Salt Lake City, UT 84104-3493 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673013 | Neighborhood House | Clinic/Center | 423 South 1100 West, Salt Lake City, UT 84104 | 2016-07-15 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1154561090 | Stephen Kent Jones | General Practice | 174 West Parrish Lane, Centerville, UT 84104 | 2009-03-05 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1639294721 | Ihc Health Services | Clinic/Center | 855 W 1300 S, Salt Lake City, UT 84104 | 2007-03-20 |
| 1700957552 | Neighborhood House | Custodial Care Facility | 423 So 1100 West, Salt Lake City, UT 84104 | 2006-11-13 |
| 1912014234 | Over The Road Dental | Dentist | 1953 W. California Ave, Salt Lake City, UT 84104 | 2006-08-23 |
| 1962492504 | Lifeskills Vocational Center | Day Training, Developmentally Disabled Services | 1656 W 1500 S, Salt Lake City, UT 84104 | 2005-10-25 |
| 1366439507 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1765 S 900 W Ste 88, Salt Lake City, UT 84104 | 2005-10-03 |
| 1588813521 | Concentra Health Services, Inc. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2008-09-15 |
| Find all providers in zip 84104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1467097071 | Centric Physicians Intermountain Region, Pllc | Family Medicine | 7101 N Mesa Street #365, Salt Lake City, UT 84101-1603 | 2019-11-07 |
| 1760036024 | Mindy Marie Wade | Family Medicine | 1950 E Fort Union Blvd, Salt Lake City, UT 84121-6894 | 2019-07-25 |
| 1841854338 | Tandy Muse | Family Medicine | 4460 S Highland Dr Ste 400, Salt Lake City, UT 84124-3565 | 2019-04-30 |
| 1821561408 | Terra Bowden | Family Medicine | 450 S 900 E Ste 175, Salt Lake City, UT 84102-2981 | 2019-01-07 |
| 1801379193 | Country Corner Family Medicine | Family Medicine | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 | 2018-09-12 |
| 1396259008 | Futura Medical Clinic | Family Medicine | 1407 W North Temple Ste 120, Salt Lake City, UT 84116-3187 | 2017-11-17 |
| 1255858734 | Fjm Basecamp | Family Medicine | 185 S State St Ste 208, Salt Lake City, UT 84111-1558 | 2017-08-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84104 |
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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.