DR. JEFFREY D BRADLEY (NPI# 1699793232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699793232 |
Entity Type | Individual |
Full Name | DR. JEFFREY D BRADLEY |
Credential | MD |
Practice Address |
4921 Parkview Pl Ll Saint Louis MO 63110-1032 |
Mailing Address |
660 S Euclid Ave C B 8224 Saint Louis MO 63110-1010 |
Practice Telephone | 3144547236 |
Practice Fax Number | 3143627769 |
Mailing Telephone | 3144547236 |
Mailing Fax Number | 3143627769 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2018-01-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
115804 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | ENROLLED | 05 | |
MO | 209812908 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639270853 | Jeffrey A Bradley | Obstetrics & Gynecology | 870 Crestmark Dr Ste 203, Lithia Springs, GA 30122-2665 | 2006-09-26 |
1891807285 | Jeffrey Shane Bradley | Psychiatry & Neurology | 530 E 34th St, Joplin, MO 64804-3926 | 2006-08-31 |
1851598353 | Jeffrey M Bradley | Orthopaedic Surgery | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2007-06-28 |
1801941554 | Jeffrey Bradley | Social Worker | 464 Granite Ave, Suite 25, Milton, MA 02186-5625 | 2007-01-24 |
Street Address |
4921 PARKVIEW PL LL |
City | SAINT LOUIS |
State | MO |
Zip Code | 63110-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
1881291284 | Brandy R Boyle | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
1225635527 | Faith Fields | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
1912528100 | Kaitlin J Portz | Psychologist | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-04-29 |
1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
1174159701 | Grace Catherine Keane | Student in an Organized Health Care Education/Training Program | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-16 |
1740828581 | Michelle Anne Maurer | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-12-11 |
1205472487 | Sarah Bohme | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-11-21 |
1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
1871144832 | Sara Ranae Kellahan | Nurse Practitioner | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2019-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336338912 | Joseph Fields | Radiology | 9 Heather Hill Ln, Saint Louis, MO 63132-4105 | 2007-10-18 |
1932170859 | Eric Sutphen | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2006-01-30 |
1265044804 | Genesiscare Landmark Missouri Cancer Care PC | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2020-08-17 |
1417516188 | Joshua Philip Schiff | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-06 |
1952969768 | William Chun Yip Lo | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-05 |
1205399847 | Mustafaa Saleem Mahmood | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-04-10 |
1831651496 | Hayley Stowe | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-04-03 |
1023513728 | James Scott Cordova | Radiology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2018-03-26 |
1467824649 | Pro Physicians Clinic Pa | Radiology | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2015-10-27 |
1962898759 | Alexander Justin Lin | Radiology | 4921 Parkview Pl, Ll, Saint Louis, MO 63110-1032 | 2015-04-08 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63110 |
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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.