MR. MARK BRADFORD (NPI# 1831137611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831137611 |
| Entity Type | Individual |
| Full Name | MR. MARK BRADFORD |
| Credential | P.A. |
| Practice Address |
1 Texas Station Ct Timonium MD 21093-8286 |
| Mailing Address |
2200 Kernan Dr 1st Floor Orthopaedics Suite Baltimore MD 21207-6665 |
| Practice Telephone | 4106832120 |
| Practice Fax Number | 4106832130 |
| Mailing Telephone | 4104486375 |
| Mailing Fax Number | 4104486296 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C0003213 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0003213 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
COOO3213 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NPI | 1831137611 | 01 |
| MD | MEDICARE GROUP UMOA | 665L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555613 | Mark Larsen Bradford | Dentist | 2545 Ceanothus Ave, Ste 138, Chico, CA 95973-7611 | 2005-06-01 |
| 1295907707 | Mark A Bradford | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2008-03-25 |
| 1396867271 | Mark Lavelle Bradford | Psychologist | 309 N Jefferson Ave, Ste 245, Springfield, MO 65806-1108 | 2007-04-04 |
| 1548335938 | Mark W Bradford | Specialist | 3624 Ensign Rd Ne Ste D, Olympia, WA 98506-5074 | 2006-11-21 |
| Street Address |
1 TEXAS STATION CT |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093-8286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285191528 | Debby Taylor | Nurse Practitioner | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2019-02-22 |
| 1114466976 | Allison Joy Sztajer | Social Worker | 1 Texas Station Ct, Suite 210, Timonium, MD 21093-8286 | 2017-02-13 |
| 1366808776 | Maryland Sportscare & Rehab, LLC | Occupational Therapist | 1 Texas Station Ct, Ste 315, Timonium, MD 21093 | 2016-01-14 |
| 1851722318 | University of Maryland Orthopaedic Associates, Pa | Orthopaedic Surgery | 1 Texas Station Ct, Suite 300, Timonium, MD 21093-8286 | 2013-12-10 |
| 1619219318 | Megan Anne Wood | Nurse Practitioner | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2013-03-20 |
| 1750517975 | Elizabeth Rogers Hamilton | Internal Medicine | 1 Texas Station Ct, Suite 210, Timonium, MD 21093-8286 | 2009-06-02 |
| 1447438551 | Stuart J Gordon, Md, Pa | Orthopaedic Surgery | 1 Texas Station Ct, Suite 300, Timonium, MD 21093-8286 | 2008-01-31 |
| 1285825273 | Hubert John Yu Sam Chua | Clinic/Center | 1 Texas Station Ct, Timonium, MD 21093-8286 | 2007-08-06 |
| 1588796916 | Tamara A Irby | Physical Therapist | 1 Texas Station Ct, Suite 300, Timonium, MD 21093-8286 | 2007-03-12 |
| 1790848760 | Albert H Dudley IIi Md LLC | Specialist | 1 Texas Station Ct, Ste 300, Timonium, MD 21093-8286 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396157004 | Natasha Phillips | Physician Assistant | 16 Greenmeadow Dr, Suite G-105, Timonium, MD 21093-3200 | 2014-05-29 |
| 1689771701 | Richard Lloyd Trader | Physician Assistant | 1300 York Rd, Suite 100, Timonium, MD 21093-6016 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
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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.