BRADLEY ALICE (NPI# 1831509561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831509561 |
| Entity Type | Individual |
| Full Name | BRADLEY ALICE |
| Credential | M.D. |
| Practice Address |
5633 N Lidgerwood St Spokane WA 99208-1224 |
| Mailing Address |
4621 E 46th Ave Spokane WA 99223-2220 |
| Practice Telephone | 5094822448 |
| Mailing Telephone | (509) 844-3643 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 60693644 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 923542804 | 9095584085 |
| Street Address |
5633 N LIDGERWOOD ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693919 | Mark J Erwin | Physician Assistant | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2005-07-20 |
| 1881247450 | John Landkammer | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2019-07-22 |
| 1669913331 | Hope Tran | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2017-03-15 |
| 1932571080 | Krista Arthur | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2015-10-28 |
| 1700258324 | Taylor Joel Jackson | Pharmacist | 5633 N Lidgerwood St, Spokane, WA 99208 | 2015-10-22 |
| 1457693558 | Joseph Francis Tkacik | Nurse Practitioner | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2013-03-27 |
| 1336445634 | Emergency Physician Services Ps Holy Emergency Center | Emergency Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2011-02-03 |
| 1447493283 | Anita Marie Tuider | Dietitian, Registered | 5633 N Lidgerwood St, Holy Family Hospital/food & Nutrition Services, Spokane, WA 99208-1224 | 2009-04-09 |
| 1235371675 | Johnny Nguyen Do | Internal Medicine | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2009-03-31 |
| 1245485291 | Michael E Coats Md Pllc | Psychiatry & Neurology | 5633 N Lidgerwood St, Spokane, WA 99208-1224 | 2008-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457705147 | Daniel Hinds | Emergency Medicine | 10019 N Austin Ln, Spokane, WA 99208-6072 | 2016-04-19 |
| 1144552704 | Northwest Pacific Emergency Physicians LLP | Emergency Medicine | 800 West Fifth Avenue, Spokane, WA 99210-0248 | 2010-02-08 |
| 1861606527 | Amy C. Romey | Emergency Medicine | 101 W 8th, Spokane, WA 90225 | 2007-05-10 |
| 1144355900 | Brian Raymond Floyd | Emergency Medicine | 14126 E Forker Ridge Ln, Spokane, WA 99216-2290 | 2007-02-22 |
| 1720124001 | Daniel J. Case | Emergency Medicine | 701 E 10th Ave, Spokane, WA 99202-2412 | 2007-01-30 |
| 1932111226 | Medford Cashion | Emergency Medicine | 1635 S Canyon Woods Ln, Spokane, WA 99224-5734 | 2006-08-13 |
| 1760435028 | Michael Jacks Mainer | Emergency Medicine | 3754 W Indian Trail Rd, Spokane, WA 99208-4700 | 2006-05-18 |
| 1508834474 | Molly Hutsinpiller | Emergency Medicine | 4328 S Perry St, Spokane, WA 99203-4337 | 2006-03-08 |
| 1023097847 | Lynn Bergman | Emergency Medicine | 5633 N Lidgerwood, Emergency Physicians Services, Spokane, WA 99208 | 2006-01-10 |
| 1912564055 | Spokane Emergency Care Physicians Pllc | Emergency Medicine | 800 W 5th Ave, Spokane, WA 99204-2803 | 2019-05-23 |
| Find all providers in SPOKANE | ||||
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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.