DR. ROBERT BRADLEY MCCLELLAN (NPI# 1770618498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770618498 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRADLEY MCCLELLAN |
| Credential | M.D. |
| Practice Address |
245 Governors Dr Se Huntsville AL 35801-2700 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2562657981 |
| Practice Fax Number | 2562654987 |
| Mailing Telephone | 2562657981 |
| Mailing Fax Number | 2562654987 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 31847 | AL | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
31847 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL LICENSE | 31847 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779621 | Robert William Mcclellan | Social Worker | 817 12th St, West Babylon, NY 11704-3116 | 2007-09-24 |
| 1225043961 | Robert Michael Mcclellan | Plastic Surgery | 1118 W Baltimore Pike, Suite 100, Health Center 4, Media, PA 19063-6104 | 2006-07-30 |
| 1588628259 | Robert J. Mcclellan | Occupational Therapist | 1700 Canton Hills Cir, Marietta, GA 30062-4612 | 2006-04-12 |
| 1396372371 | Robert Mcclellan | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-03-27 |
| 1467825661 | Robert Mcclellan | Social Worker | 6887 Dixie Hwy Ste A, Clarkston, MI 48346-5107 | 2015-11-10 |
| 1518994797 | Robert Trigg Mcclellan | Orthopaedic Surgery | 1001 Potrero Avenue, Rm 3a36, San Francisco, CA 94110-3518 | 2006-06-26 |
| 1265428940 | Robert Lee Mcclellan | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2005-09-27 |
| Street Address |
245 GOVERNORS DR SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435398 | Wilfredo I Vergara | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2005-08-24 |
| 1912518861 | Tyler Joe Fadorsen | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-13 |
| 1184234676 | Brianna Michelle Moultrie | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-09 |
| 1518583996 | Laura Beth Rouse | Nurse Anesthetist, Certified Registered | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-06-22 |
| 1528687035 | Jamie Hunter | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-04-14 |
| 1366077562 | Santrice Pleasant | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-03-08 |
| 1255964425 | Sarah Heimsness Davis | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-17 |
| 1750914065 | Jeanette Olivia Craven | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-14 |
| 1356989784 | Amy Hall | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-12-17 |
| 1578109781 | Lauren Anne Higginbotham | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043732662 | Happi Health | Pediatrics | 2327 Pansy St Sw Ste B, Huntsville, AL 35801-3804 | 2017-07-14 |
| 1952797862 | Angela Jean King | Pediatrics | 2004 Airport Rd Sw Ste 1, Huntsville, AL 35801 | 2015-04-08 |
| 1285044933 | Christen Thigpen Roth | Pediatrics | 2004 Airport Rd Sw, Huntsville, AL 35801-5845 | 2014-05-04 |
| 1669761201 | Gina Mcclure White | Pediatrics | 301 Governors Dr Sw # 260, Huntsville, AL 35801-5123 | 2011-04-05 |
| 1619209046 | Frances H Graham | Pediatrics | 4801 Bob Wallace Avenue, Huntsville, AL 35805-3389 | 2010-02-10 |
| 1194054361 | Sara Vigh | Pediatrics | 9121 E 1000 N, Huntsville, UT 84317-9643 | 2009-12-16 |
| 1750513198 | James Thomas Townsley IIi | Pediatrics | 4509 Old Farm Cir Se, Huntsville, AL 35802-1889 | 2009-08-19 |
| 1922246842 | Huntsville Pediatric Associates, LLC | Pediatrics | 1963 Memorial Pkwy., Ste 5, Huntsville, AL 35801 | 2009-01-30 |
| 1548434079 | Andrea Brown Reynolds | Pediatrics | 4810 Whitesport Cir Sw Ste 100, Huntsville, AL 35801-7420 | 2008-04-16 |
| 1407043102 | Athens Pediatrics | Pediatrics | 2006 Franklin St., Suite 107, Huntsville, AL 35801-4537 | 2007-09-27 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.