MR. BRADFORD HEATH MALLORY (NPI# 1730175225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730175225 |
| Entity Type | Individual |
| Full Name | MR. BRADFORD HEATH MALLORY |
| Credential | M.D. |
| Practice Address |
3400 Lincoln Ave Evansville IN 47714-0147 |
| Mailing Address |
12940 Avalon Dr Evansville IN 47725-8062 |
| Practice Telephone | 8124696800 |
| Mailing Telephone | 8126260143 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01056168A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3400 LINCOLN AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538155031 | Chaovanee Poosuthasee | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2005-09-21 |
| 1679060248 | Jeremy Daniel English | Psychologist | 3400 Lincoln Ave, Evansville, IN 47714-0146 | 2018-04-18 |
| 1942707625 | Charles Edward Smith IIi | Psychologist | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2018-04-10 |
| 1457557621 | Kari L. Kernek | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714 | 2007-06-25 |
| 1780610303 | Patricia Morrison | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2006-06-24 |
| 1598706459 | State of Indiana Auditor of State | Pharmacy | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2006-06-09 |
| 1700833191 | Anjum S Ashraf | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2006-05-30 |
| 1104812353 | John Robert Lorenz | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2005-09-23 |
| 1861488355 | Melba Calderon Briones | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2005-09-21 |
| 1881680379 | Teresita Ramirez Arcinas | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2005-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
| 1295864015 | James Gus Schreiber | Psychiatry & Neurology | 414 Se Riverside Dr # C, Evansville, IN 47713-1038 | 2007-03-05 |
| 1508973934 | Tracy R Woodward | Psychiatry & Neurology | 1133 Lincoln Ave 201, Evansville, IN 47714-1028 | 2006-08-23 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| 1194738211 | Gregory J Unfried | Psychiatry & Neurology | 410 Mulberry St, Evansville, IN 47713-1231 | 2006-08-14 |
| 1881681658 | Gene Flick | Psychiatry & Neurology | 5200 Washington Ave Ste E, Evansville, IN 47715 | 2005-10-05 |
| 1538155031 | Chaovanee Poosuthasee | Psychiatry & Neurology | 3400 Lincoln Ave, Evansville, IN 47714-0147 | 2005-09-21 |
| 1316562499 | John Douglas Wathen | Psychiatry & Neurology | 415 Mulberry St, Evansville, IN 47713-1230 | 2020-06-14 |
| 1992271811 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2018-10-18 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.