DR. BRADLEY DELMAR HERRICK (NPI# 1700035235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700035235 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY DELMAR HERRICK |
| Credential | M.D. |
| Practice Address |
15366 11th St Suite K Victorville CA 92395-3726 |
| Practice Telephone | 7602456465 |
| Practice Fax Number | 7602451132 |
| Mailing Telephone | 7602456465 |
| Mailing Fax Number | 7602451132 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A55805 | CA | Other Service Providers |
| Street Address |
15366 11TH ST SUITE K |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556742 | Wonsik Y Bollmann | Podiatrist | 15366 11th St, Suite A, Victorville, CA 92395-3726 | 2005-08-23 |
| 1104204775 | High Desert Foot & Ankle Clinic, A Professional Corporation | Podiatrist | 15366 11th St, Suite A, Victorville, CA 92395-3726 | 2015-05-14 |
| 1083965933 | Fahed D. Hattar Dental, Inc. | Dentist | 15366 11th St, Suite F, Victorville, CA 92395-3726 | 2012-10-01 |
| 1649593385 | Agc Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 15366 11th St, Suite C, Victorville, CA 92395-3726 | 2010-03-09 |
| 1336399252 | Jennifer Konior | Physician Assistant | 15366 11th St, Suite K, Victorville, CA 92395-3726 | 2008-09-27 |
| 1134379480 | Wonsik Bollmann | Podiatrist | 15366 11th St, Ste A, Victorville, CA 92395-3726 | 2008-09-23 |
| 1790953859 | Clibon Dental Corporation | Dentist | 15366 11th St, Suite G, Victorville, CA 92395-3726 | 2008-02-12 |
| 1356546147 | Dr's Hattar & Salman Dental | Dentist | 15366 11th St, Suite F, Victorville, CA 92395-3726 | 2007-06-20 |
| 1376685263 | Yvonne Telgt-mckinney, Md Inc. | Non-Pharmacy Dispensing Site | 15366 11th St, O, Victorville, CA 92395-3726 | 2007-02-14 |
| 1467598219 | Bonnie Inquinn Chi-lum | Preventive Medicine | 15366 11th St, Suite K, Victorville, CA 92395-3726 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689835563 | Vascular Associates of Southern California, Inc. | Specialist | 15030 7th Street, Victorville, CA 92395 | 2008-06-23 |
| 1730265679 | Victor Valley Anesthesia Medical Group Inc | Specialist | 15248 11th Street, Victorville, CA 92395 | 2006-10-31 |
| 1821178856 | Elite Diagnostic Imaging, LLC | Specialist | 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395-7777 | 2006-10-16 |
| 1407963093 | Victorville Openscan Mri | Specialist | 12276 Hesperia Rd Ste 6, Victorville, CA 92395-5838 | 2006-08-23 |
| 1689607053 | Yvonne R Telgt-mckinney | Specialist | 16519 Victor St, Suite 307, Victorville, CA 92395-3965 | 2006-07-09 |
| 1427004977 | Ramin Bahman Ashtiani | Specialist | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2006-05-26 |
| 1841726668 | Padula Medical Corporation | Specialist | 15000 7th St, #102, Victorville, CA 92395-3852 | 2017-05-11 |
| 1164738522 | High Desert Specialty Group | Specialist | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 | 2010-08-24 |
| 1962649483 | Robert R Young | Specialist | 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395-7777 | 2009-01-21 |
| 1306046123 | Bipinchandra Venilal Bhagat | Specialist | 17290 Jasmine St, Suite 101, Victorville, CA 92395-7709 | 2007-07-19 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.