DR. PATRICK D BRADLEY (NPI# 1780909291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780909291 |
| Entity Type | Individual |
| Full Name | DR. PATRICK D BRADLEY |
| Credential | MD |
| Practice Address |
1960 Electric Rd Roanoke VA 24018-1601 |
| Practice Telephone | 5407727171 |
| Practice Fax Number | 5407748299 |
| Mailing Telephone | 5407727171 |
| Mailing Fax Number | 5407748299 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0101255677 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1780909291 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265799076 | Patrick Bradley | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2012-04-18 |
| 1568759694 | Patrick Connor Bradley | Dentist | 6821 N Country Homes Blvd, Suite 201, Spokane, WA 99208-4372 | 2011-07-10 |
| 1356449169 | Patrick Sean Bradley | Chiropractor | 4900 N Litchfield Road Byp, Suite C-2, Litchfield Park, AZ 85340-5061 | 2006-09-20 |
| Street Address |
1960 ELECTRIC RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842695 | Kevin Thomas Coolbaugh | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-22 |
| 1609038538 | Kari Harner Boothe | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2008-07-01 |
| 1801063664 | Christopher M Clark | Technician/Technologist | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2008-05-12 |
| 1760533608 | Eugene H Eng | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2007-01-16 |
| 1639192594 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2006-07-25 |
| 1962400168 | Eye Care & Surgery PC | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-12 |
| 1508864109 | Carey William Robinson | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-08 |
| 1720085608 | Lee Thomas Helms | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-07 |
| 1023015476 | William Mckinley Thompson | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-30 |
| 1649277229 | Shari L Coolbaugh | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942695473 | Bruce Allen Watson | Ophthalmology | 2802 Brandon Ave Sw, Roanoke, VA 24015-3310 | 2015-04-01 |
| 1659324267 | Joseph S Weisman | Ophthalmology | 1225 Maple Ave Sw, Roanoke, VA 24016-4707 | 2006-05-18 |
| 1497726475 | Jonathan Till | Ophthalmology | 3090 Electric Rd, Suite B, Roanoke, VA 24018-3531 | 2006-01-30 |
| 1417940495 | Lewis Jay Singer | Ophthalmology | 306 Mcclanahan St Sw, Roanoke, VA 24014-1712 | 2005-08-25 |
| 1245234715 | Timothy R Byrnes | Ophthalmology | 5296 Peters Creek Rd, Roanoke, VA 24019-3808 | 2005-06-13 |
| 1568466423 | John Robert Wood | Ophthalmology | 375 Hershberger Rd, Roanoke, VA 24012-1983 | 2005-06-09 |
| 1912909094 | Ann B Sowers | Ophthalmology | 70 Summerfield Ct, Roanoke, VA 24019-4579 | 2005-06-02 |
| 1447254701 | Chad Albright | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2005-06-02 |
| 1043214315 | Scott Andrew Strelow | Ophthalmology | 3320 Franklin Rd Sw, Roanoke, VA 24014-1310 | 2005-06-02 |
| 1083972913 | Tad Douglas Schoedel | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2012-04-29 |
| Find all providers in ROANOKE | ||||
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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.