MR. EDWARD THOMAS BRADLEY JR. (NPI# 1770550014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770550014 |
| Entity Type | Individual |
| Full Name | MR. EDWARD THOMAS BRADLEY JR. |
| Credential | MD |
| Practice Address |
1170 Shawnee St Savannah Cboc Savannah GA 31419-1618 |
| Practice Telephone | 9129200214 |
| Mailing Telephone | 9129200214 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28129 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD AL | 51544352 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434576 | Edward Bradley | Non-emergency Medical Transport (VAN) | 6650 Virgilian St, New Orleans, LA 70126-2648 | 2018-04-11 |
| 1033466503 | Edward G Bradley Jr. | Counselor | 223 N 3rd St, Suite 104, Muskogee, OK 74401-6609 | 2012-08-14 |
| 1114168796 | Edward B Bradley | Internal Medicine | 1904 Genesee Street, Utica, NY 13505-8150 | 2009-03-12 |
| 1497744171 | Edward Michael Bradley | Obstetrics & Gynecology | 900 N. 1st Street, Springfield, IL 62702-3749 | 2005-10-17 |
| Street Address |
1170 SHAWNEE ST SAVANNAH CBOC |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385662 | Osabuohien Sunday Usifo | Internal Medicine | 1170 Shawnee St, Savannah, GA 31419-1618 | 2005-06-08 |
| 1295353860 | John David Cummings | Peer Specialist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2020-07-10 |
| 1023665486 | Katherine Lynn Twitty | Physical Therapist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2019-08-21 |
| 1588210348 | Clayton Bakewell Crosley | Specialist/Technologist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2019-08-16 |
| 1619533056 | Melissa Morgan | Social Worker | 1170 Shawnee St, Savannah, GA 31419-1618 | 2019-05-10 |
| 1316404478 | Camille Swan | Dietitian, Registered | 1170 Shawnee St, Savannah, GA 31419 | 2019-02-25 |
| 1922570720 | Chanel Jackson Inyang | Social Worker | 1170 Shawnee St, Savannah, GA 31419-1618 | 2018-12-19 |
| 1285115915 | Devin Lanier Jordan | Psychologist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2018-08-21 |
| 1790229854 | Kimberly Merklinger | Physical Therapist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2016-12-08 |
| 1033651021 | Ryan Scott Creech | Psychologist | 1170 Shawnee St, Savannah, GA 31419-1618 | 2016-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| 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 |
|---|---|---|---|---|
| 1710483565 | Rachel D. Maree, M.d., M.p.h., LLC | Psychiatry & Neurology | 631 Bridgewater Dr, Savannah, GA 31419-5518 | 2018-04-02 |
| 1710422043 | Arcway | Psychiatry & Neurology | 308 Commercial Dr Ste 100, Savannah, GA 31406-3679 | 2016-12-22 |
| 1811383375 | Michele Willis | Psychiatry & Neurology | 5002 Waters Ave Fl 2, Savannah, GA 31404-6226 | 2015-04-11 |
| 1194130989 | Belinda Montoya | Psychiatry & Neurology | 455 Montgomery St Apt 303, Savannah, GA 31401-7803 | 2014-06-30 |
| 1306132378 | Anne Margaret Carpenter | Psychiatry & Neurology | 325 Montgomery Cross Road, Savannah, GA 31406 | 2011-06-28 |
| 1841487493 | Ann Cashan Kleckner | Psychiatry & Neurology | 1 Ghost Crab Ct, Savannah, GA 31411-3111 | 2007-09-27 |
| 1831227487 | Manoj K Dass | Psychiatry & Neurology | 1121 Cornell Ave, Savannah, GA 31406-2701 | 2007-03-02 |
| 1316059090 | Ronald Bradley Sites | Psychiatry & Neurology | 515 E 63rd St, Savannah, GA 31405-4300 | 2006-08-31 |
| 1124133178 | Gordon G Ifill | Psychiatry & Neurology | 836 E 65th Street, 42 Medical Arts, Savannah, GA 31405 | 2006-08-20 |
| 1588691794 | Chad Brock | Psychiatry & Neurology | 1601 Abercorn St, Savannah, GA 31401-7521 | 2006-06-26 |
| Find all providers in SAVANNAH | ||||
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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.