EDWARD A. BRADFORD (NPI# 1730103235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730103235 |
| Entity Type | Individual |
| Full Name | EDWARD A. BRADFORD |
| Credential | M.D. |
| Practice Address |
1450 Matthews Township Pkwy Ste 230 Matthews NC 28105 |
| Mailing Address |
5950 Fairview Rd Ste 330 Charlotte NC 28210-2108 |
| Practice Telephone | 7044956020 |
| Mailing Telephone | 7044956334 |
| Mailing Fax Number | 7048177219 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 24227 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1730103235 | 05 | |
| NC | 8917415 | 05 | |
| SC | N24227 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 332 N. Trade Street, Suite 2000, Matthews, NC 281056566 | 7043028500 | 7043028501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407944200 | Edward Bradford | Dentist | 1400 6th Ave S, Jefferson County Health Dept-central Dental Clinic, Birmingham, AL 35233-1502 | 2006-10-10 |
| Street Address |
1450 MATTHEWS TOWNSHIP PKWY STE 230 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720340144 | Justin Britt Miller | Internal Medicine | 1450 Matthews Township Pkwy Ste 230, Matthews, NC 28105 | 2012-06-12 |
| 1811097967 | Maria Socorro Ambulo Geronimo | Internal Medicine | 1450 Matthews Township Pkwy Ste 230, Matthews, NC 28105 | 2006-09-25 |
| 1356365878 | Edward J. Knish | Internal Medicine | 1450 Matthews Township Pkwy Ste 230, Matthews, NC 28105 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1528376712 | Matthews Internal Medicine Pllc | Internal Medicine | 434 N. Trade St, Suite 104, Matthews, NC 28105 | 2010-09-22 |
| 1376726935 | Novant Medical Group, Inc. | Internal Medicine | 3330 Siskey Parkway, Matthews, NC 28105 | 2007-12-06 |
| 1497890891 | Geralyn Mary Campi | Internal Medicine | 2030 Windsor Run Ln, Matthews, NC 28105 | 2007-02-21 |
| 1356367957 | Srinivas Cheruvu | Internal Medicine | 1340 Matthews Township Pkwy Ste 301, Matthews, NC 28105-4681 | 2006-07-15 |
| 1316911159 | Chad Howard | Internal Medicine | 3300 Williams Rd, Matthews, NC 28105 | 2006-02-16 |
| 1235109190 | Kim Marie Foust | Internal Medicine | 1401 Matthews Township Pkwy Ste 200, Matthews, NC 28105-5403 | 2006-01-24 |
| 1215928999 | Randell A Hyler | Internal Medicine | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2005-11-02 |
| 1215931894 | Eliza N Sangmuah | Internal Medicine | 101 E Matthews Street, Suite 200, Matthews, NC 28105-5373 | 2005-06-10 |
| 1790243319 | Novant Medical Group, Inc | Internal Medicine | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2019-03-04 |
| Find all providers in MATTHEWS | ||||
Please comment or provide details below to improve the information on EDWARD A. BRADFORD.
| 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.