BRADLEY A HERBST (NPI# 1750356127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750356127 |
| Entity Type | Individual |
| Full Name | BRADLEY A HERBST |
| Credential | DPM |
| Practice Address |
1361 13th Ave S Ste 120 Jacksonville Beach FL 32250-3260 |
| Mailing Address |
2140 Kingsley Ave Ste 12 Orange Park FL 32073-5129 |
| Practice Telephone | 9042412655 |
| Practice Fax Number | 9042492425 |
| Mailing Telephone | 9042515053 |
| Mailing Fax Number | 9042242002 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO2789 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390492000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414778 | Bradley Herbst | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2020-03-27 |
| Street Address |
1361 13TH AVE S STE 120 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154437184 | Linda Louise Alexander | Podiatrist | 1361 13th Ave S Ste 120, Jacksonville Beach, FL 32250-3260 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264826 | Upperline Healthcare, PC | Podiatrist | 819 E Oak St Ste B, Kissimmee, FL 34744-5842 | 2020-07-31 |
| 1801406236 | Upperline Healthcare, PC | Podiatrist | 499 E Central Pkwy Ste 120, Altamonte Springs, FL 32701-3449 | 2020-07-31 |
| 1841800281 | Upperline Healthcare, PC | Podiatrist | 7148 Curry Ford Rd Ste 300, Orlando, FL 32822-5803 | 2020-07-31 |
| 1497365829 | Upperline Healthcare, PC | Podiatrist | 6000 Turkey Lake Rd Ste 108, Orlando, FL 32819-4205 | 2020-07-31 |
| 1427668854 | Upperline Healthcare, PC | Podiatrist | 1381 Citrus Tower Blvd Ste 103, Clermont, FL 34711-1957 | 2020-07-31 |
| 1639654148 | Kenneth Shapiro | Podiatrist | 7209 Promenade Dr Apt 601, Boca Raton, FL 33433-2809 | 2018-10-01 |
| 1558872549 | Edward Nathan Szerlip | Podiatrist | 11960 Northwest 26 Street, Plantation, FL 33323-3332 | 2017-10-17 |
| 1174903686 | Maria Lilia Fundora Cabrera | Podiatrist | 1380 Ne Miami Gardens Dr 209, Miami, FL 33179-4709 | 2015-06-01 |
| 1285027599 | Naples Podiatry | Podiatrist | 4763 Tamiami Trail North, Naples, FL 34103 | 2015-03-11 |
| 1548667314 | Louis Joseph Falletta | Podiatrist | 410 Se 28th Ave, Pompano Beach, FL 33062-6130 | 2014-11-22 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on BRADLEY A HERBST.
| 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.