DR. BRADLEY CHARLES ELLIS (NPI# 1831164607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831164607 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY CHARLES ELLIS |
| Credential | M.D. |
| Practice Address |
Psc 94 Box 2547 Apo AE 09824 TR |
| Practice Telephone | 322-316-2398 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 056993 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639215031 | Bradley Wade Ellis | Physical Therapy Assistant | 4820 Newberry Road, Gainesville, FL 32607 | 2007-01-30 |
| Street Address |
PSC 94 BOX 2547 |
| City | APO |
| State | AE |
| Zip Code | 09824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487902755 | Dennis Shay | Physical Therapist | Psc 94 Bldg 865, Apo, AE 09824 | 2012-08-17 |
| 1336378017 | Kelley Melissa Joyner-haasis | Military Health Care Provider | Building 965 Room 1j01a, Apo, AE 09824 | 2009-07-02 |
| 1558463125 | Elizabeth Ann Erickson | Family Medicine | Unit 7095 Box 185, Apo, NY 09824 | 2006-09-02 |
| 1306814041 | James Scott Green | Family Medicine | Psc 94 Box 2403, Apo Ae 09824, Incirlik, TURKEY 09824 | 2006-03-09 |
| 1598751042 | Elizabeth Waters Mclean | Speech-Language Pathologist | 39th Medical Group, Unit 7095 Box 185, Apo, AE 09824 | 2005-09-21 |
| 1700870862 | Nathan Gregory Russell | Dentist | Psc 94 Box 168, Apo, AE 09824 | 2005-09-06 |
| 1487647707 | Laura C Fields | Physical Therapist | Psc 94 Box 2219, Apo Ae, INCIRLIK 09824 | 2005-08-23 |
| 1811989270 | Jeffry James Larson | Dentist | 39th Medical Squadron, Unit 7095 Box 185, Apo, AE 09824 | 2005-08-22 |
| 1063981157 | Lucas Gil Borg | Dentist | Psc 94, Apo, AE 09824 | 2018-11-19 |
| 1629489901 | Aaron Gause | Dentist | Psc 94, Incirlik Air Base, INCIRLIK AIR BASE 09824 | 2014-05-08 |
| Find all providers in zip 09824 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275054652 | Paul Mark Allred | Family Medicine | Unit 28038 Bld 700, Apo, AE 09112 | 2017-07-06 |
| 1619405859 | Sarah Claire Mccullough | Family Medicine | Unit 7095, Apo, AE 09824-7095 | 2017-06-01 |
| 1528449303 | Jacob Lance Heath | Family Medicine | Cmr 411 Bldg 700 Rm41, Apo, AE 09112 | 2015-06-17 |
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| 1437539228 | Nofisat Almaroof | Family Medicine | Cmr 411 Bldg 260, Apo, AE 09112 | 2015-06-05 |
| 1174903223 | Joseph Henry Chin | Family Medicine | Sgt Shin Woo Kim Clinic, Camp Humphreys, Apo, AP 96251 | 2015-06-04 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1841603446 | Andrew Romney | Family Medicine | Unit 5071 374 Mdg, Apo, AP 96328-5071 | 2014-06-11 |
| 1407267180 | Colby Taylor Neville | Family Medicine | David Grant Medical Center, 60 Mdos/sgsl, 101 Bodin Circle - Bldg 777, Apo, AA 94535-1800 | 2014-05-15 |
| Find all providers in APO | ||||
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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.