MRS. SHERRY J BRADLEY (NPI# 1811254089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811254089 |
| Entity Type | Individual |
| Full Name | MRS. SHERRY J BRADLEY |
| Credential | LCSW |
| Practice Address |
1047 E Brandon Blvd Brandon FL 33511-5515 |
| Practice Telephone | 8138203437 |
| Mailing Telephone | 8138203437 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SW14675 | FL | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 917 S Merriman Rd, Westland, MI 481864951 | 7346411141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629177 | Sherry Lynn Bradley | Pharmacist | 14100 Spring Cypress Rd, Cypress, TX 77429-6286 | 2020-08-12 |
| 1275097263 | Sherry Janel Bradley | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-24 |
| 1619401650 | Sherry Ann Bradley | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-17 |
| Street Address |
1047 E BRANDON BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061040 | Ian Hugh Adon Rivera | Social Worker | 1047 E Brandon Blvd, Brandon, FL 33511-5515 | 2019-12-24 |
| 1417439282 | New Life 360 Inc | Clinic/Center | 1047 E Brandon Blvd, Brandon, FL 33511-5515 | 2018-08-29 |
| 1194205542 | New Life 360 Inc. | Clinic/Center | 1047 E Brandon Blvd, Brandon, FL 33511-5515 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654583 | Jennifer Marie Roche | Counselor | 938 Nina Elizabeth Cir Apt 101, Brandon, FL 33510-4536 | 2018-10-09 |
| 1689083065 | Samantha Nettleton | Counselor | 3604 Coppertree Cir, Brandon, FL 33511-7706 | 2014-08-11 |
| 1639476567 | Maya Christian-mckeever | Counselor | 1463 Oakfield Dr Ste 113, Brandon, FL 33511-0815 | 2011-02-11 |
| 1003421629 | Steven Effler | Counselor | 911 S Parsons Ave Ste B, Brandon, FL 33511-6042 | 2020-09-10 |
| 1356886204 | Nicole Nonclerc | Counselor | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2017-01-02 |
| 1144675448 | Francisliana Solano | Counselor | 510 Vonderburg Dr Ste 301, Brandon, FL 33511-6072 | 2016-04-25 |
| 1497121941 | Matthew Best | Counselor | 510 Vonderburg Dr Ste 301, Brandon, FL 33511-6072 | 2015-08-19 |
| 1497146377 | Amy Kittredge | Counselor | 420 Grove St, Brandon, VT 05733-9062 | 2015-02-12 |
| 1437573755 | Naomi Cadoret | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-06 |
| 1063856797 | Donald A Cleveland | Counselor | 403 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2013-04-24 |
| Find all providers in BRANDON | ||||
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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.