CAROLYN BRADFORD I (NPI# 1730605619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730605619 |
| Entity Type | Individual |
| Full Name | CAROLYN BRADFORD I |
| Practice Address |
520 N 12th St # 980566 Richmond VA 23298-5064 |
| Mailing Address |
520 N 12th Street Box 980566 Richmond VA 23298-0566 |
| Practice Telephone | (804) 828-0843 |
| Mailing Telephone | 8048280843 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0442000302 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639269707 | Carolyn A Bradford | Nurse Practitioner | 1400 Florida Ave, Modesto, CA 95350-4422 | 2006-10-13 |
| Street Address |
520 N 12TH ST # 980566 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120135 | Alyssa Gutierrez Ricci | Dentist | 520 N 12th St # 980566, Richmond, VA 23298-5064 | 2017-08-18 |
| 1093226177 | Sameer Dilip Jain | Dentist | 520 N 12th St # 980566, Richmond, VA 23298-5064 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804911 | Justin Groody | Dentist | 900 N 24th St, Richmond, VA 23223-6412 | 2020-09-04 |
| 1609484047 | Nicholas Mcchesney Lynch | Dentist | 520 N 12th St Rm 111, Richmond, VA 23298-5064 | 2020-07-22 |
| 1407401193 | Timothy Dang | Dentist | 4125 Richmond Pkwy Ste 110, Richmond, TX 77469-2504 | 2019-08-08 |
| 1982120135 | Alyssa Gutierrez Ricci | Dentist | 520 N 12th St # 980566, Richmond, VA 23298-5064 | 2017-08-18 |
| 1932653391 | David Cole | Dentist | 520 N 12th St # 222, Richmond, VA 23298-5064 | 2016-08-15 |
| 1356895973 | Heather Moylan | Dentist | 1201 N 22nd St, Richmond, VA 23223-5125 | 2016-08-11 |
| 1578951968 | Megan Lynn Guthman | Dentist | 2303 Grove Ave, Unit A, Richmond, VA 23220-4413 | 2015-01-07 |
| 1821372301 | Lynn Dell Bode | Dentist | 2000 National Rd W, Richmond, IN 47374-3854 | 2011-10-03 |
| 1962785923 | Erin A Smith | Dentist | 9221 Forest Hill Ave, Richmond, VA 23235-6876 | 2011-09-26 |
| 1831404359 | Rizwan Khan | Dentist | 5434 W Grand Pkwy S Ste 200, Richmond, TX 77406-5826 | 2010-08-09 |
| Find all providers in RICHMOND | ||||
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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.