DR. BRADLEY D. MITCHELL (NPI# 1720179765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720179765 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY D. MITCHELL |
| Credential | MD |
| Practice Address |
139 Conference Center Way Ste 113 Bridgeport WV 26330-9147 |
| Mailing Address |
1247 Suncrest Town Centre Dr Morgantown WV 26505-1876 |
| Practice Telephone | 3045998000 |
| Practice Fax Number | 3045998003 |
| Mailing Telephone | 3045998000 |
| Mailing Fax Number | 3045998003 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 21251 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1247 Suncrest Town Centre Dr, Morgantown, WV 265051876 | 3045998000 | 3045998003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407310113 | Bradley J Mitchell | Behavioral Analyst | 1050 Broadway Ste 21, Chesterton, IN 46304-2173 | 2019-01-27 |
| 1760935639 | Bradley Mitchell | Occupational Therapy Assistant | 335 S Windomere Ave, Dallas, TX 75208-5821 | 2016-07-27 |
| 1720236128 | Bradley W Mitchell | Dentist | 413 W 3rd St, Waterloo, IL 62298-1358 | 2008-08-28 |
| 1396843371 | Bradley Scott Mitchell | Dentist | 4200 W Memorial Rd, Suite 809, Oklahoma City, OK 73120-9350 | 2006-09-21 |
| Street Address |
139 CONFERENCE CENTER WAY STE 113 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275952376 | Katherine Beckett Berger | Pediatrics | 139 Conference Center Way Ste 113, Bridgeport, WV 26330 | 2014-04-16 |
| 1881828879 | Alicia Erin Maddix | Pediatrics | 139 Conference Center Way Ste 113, Bridgeport, WV 26330-9147 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083872865 | Janear Rochelle Anderson | Pediatrics | 1903 Doctors Hospital Dr, Suite 36, Bridgeport, TX 76426-2269 | 2008-05-28 |
| 1811097546 | Janet E. Cogar | Pediatrics | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2006-09-23 |
| 1023127818 | Jennifer Jill Momen | Pediatrics | 11 Chenoweth Drive, Suite A, Bridgeport, WV 26330 | 2006-08-29 |
| 1134232143 | Andrea B Hagani | Pediatrics | 2600 Main St, Suite 215, Bridgeport, CT 06606-5305 | 2006-08-16 |
| 1801806799 | Taralyn Cronin-weir | Pediatrics | 4637 Main St, Suite #4, Bridgeport, CT 06606-1838 | 2006-08-09 |
| 1538178850 | Mukesh H Shah | Pediatrics | 3180 Main Street, Room 104, Bridgeport, CT 06606 | 2006-08-05 |
| 1366459299 | Brian Christopher Policano | Pediatrics | 7 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1887 | 2006-08-02 |
| 1912987702 | Pedro J. Malave | Pediatrics | 2475 North Ave, Bridgeport, CT 06604-2337 | 2006-01-18 |
| 1174524151 | Kathryn J Quinn | Pediatrics | 3180 Main St, Suite G-1, Bridgeport, CT 06606-4237 | 2005-08-02 |
| 1760936678 | Parth Bhatt | Pediatrics | 900 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2016-08-09 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on DR. BRADLEY D. MITCHELL.
| 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.