MR. BRADLEY JAMES PETTY


Address: 780 Swift Blvd Ste 301, Richland, WA 99352-3524
Phone: 5099423178

MR. BRADLEY JAMES PETTY (NPI# 1790103976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790103976
Entity Type Individual
Full Name MR. BRADLEY JAMES PETTY
Credential MD
Practice Address 780 Swift Blvd Ste 301
Richland
WA 99352-3524
Mailing Address 550 Gage Blvd Ste 101
Richland
WA 99352-9532
Practice Telephone 5099423178
Practice Fax Number 5099461735
Mailing Telephone 5099423627
Mailing Fax Number 5096272983
Enumeration Date 2014-04-03
Last Update Date 2019-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD60907536 WA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 Madison Ave Ste 1031, Memphis, TN 381033403 9014485364

Office Location

Street Address 780 SWIFT BLVD STE 301
City RICHLAND
State WA
Zip Code 99352-3524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437309267 Matthew A. Huwe Physician Assistant 780 Swift Blvd Ste 301, Richland, WA 99352 2008-09-29
1063861599 Brenda L Nelson Hearing Instrument Specialist 780 Swift Blvd Ste 301, Richland, WA 99352-3524 2016-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326683053 Thrive On Counseling, LLC Counselor 718 Jadwin Avenue, Richland, WA 99352 2019-11-18
1225687650 Tri-cities Marital and Family Therapy Marriage & Family Therapist 925 Stevens Dr., Suite 3a, Richland, WA 99352 2019-09-09
1053966754 Darla Nicole Carpenter-sams Social Worker 845 Stevens Suite 3a, Richland, WA 99352 2019-08-08
1538720735 Compass Home Health Care Home Health 4281 Tigar Lane, Richland, WA 99352 2019-06-27
1164089934 Tri-city Orthodontics, LLC Dentist 3200 Duportail St, Ste 203, Richland, WA 99352 2019-05-28
1760956361 Behavior Treatment Solutions LLC Behavioral Analyst 403 Adams St, Richland, WA 99352 2019-01-16
1528566981 Rxltc, Pllc Pharmacy 969 Stevens Dr Ste 1b, Richland, WA 99352 2018-01-31
1154829992 Jason Brody Anderson Registered Nurse 888 Swift Blvd # 180, Richland, WA 99352 2018-01-26
1093247355 Anderson Mcgilliard Physical Therapist 875 Gage Blvd, Richland, WA 99352 2017-03-28
1871042689 Jennifer Bramhall Nurse Practitioner 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 2016-09-22
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902876402 Ronald Evan Schwartz Otolaryngology 1100 Goethals Drive Suite D, Richland, WA 99352 2006-01-25
1194089987 Kellen J Stromberg Otolaryngology 780 Swift Blvd, Richland, WA 99352-3524 2012-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093220980 Sound E.n.t. Consultants, LLC Otolaryngology 406 Yauger Way Sw Ste B, Olympia, WA 98502-8151 2017-12-13
1104203793 Eric Andrew Eisen Otolaryngology 8301 161st Ave Ne Ste 102, Redmond, WA 98052-3858 2015-05-03
1598182990 Annie Kyunga Ahn Otolaryngology 4033 Talbot Rd S Ste 540, Renton, WA 98055 2014-03-24
1760810311 Gerald Guy Randolph Otolaryngology 10491 E State Route 106, Union, WA 98592 2013-10-17
1689007320 Aria Jafari Otolaryngology 1959 Ne Pacific St # 356515, Seattle, WA 98195-3729 2013-08-16
1326306317 Priyanka Shah O'brien Otolaryngology 1801 1st Ave Ste 3a, Longview, WA 98632-3271 2012-04-26
1033486402 Richard J. Cavell Otolaryngology 1013 Marshall Dr, Camano Island, WA 98282-8787 2011-11-29
1457628497 Robin Lee Downey Otolaryngology 4020 Aurora Ave N Apt 410, Seattle, WA 98103-7882 2011-11-18
1588955785 Nicholas C Vanburen Otolaryngology 1424 N Mcdonald Rd Ste 101, Spokane Valley, WA 99216-6017 2011-04-22
1881925956 Steve Lars Risa Otolaryngology 4538 177th Ave Se, Bellevue, WA 98006-6519 2010-01-28
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City RICHLAND
Zip Code 99352

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Dataset Information

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.

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