DR. BRADLEY PERRY VICKERS (NPI# 1851301733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851301733 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY PERRY VICKERS |
| Credential | DMD |
| Practice Address |
700 South 19th St Va Medical Center, Dental Service 160 Birmingham AL 35233 |
| Mailing Address |
700 South 19th Street Va Medical Center, Dental Service 160 Birmingham AL 35233 |
| Practice Telephone | 2059338101 |
| Practice Fax Number | 2055584779 |
| Mailing Telephone | 2059338101 |
| Mailing Fax Number | 2055584779 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
AL5266 | AL | Dental Providers |
| Street Address |
700 SOUTH 19TH ST VA MEDICAL CENTER, DENTAL SERVICE 160 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538251426 | Ajmal Muhammad Khan | Psychiatry & Neurology | 700 South 19th St, Birmingham Va Medical Center, Birmingham, AL 35233 | 2006-09-28 |
| 1346341112 | Michelle Maston | Pharmacist | 700 South 19th St, Birmingham, AL 35233 | 2006-09-26 |
| 1750495784 | Sean R Hatton | General Acute Care Hospital | 700 South 19th St, Va Medical Center, Birmingham, AL 35233 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986533 | Ramakiran Venkata Chavali | Dentist | 127 Cahaba River Parc, Birmingham, AL 35243-3250 | 2012-01-30 |
| 1679602189 | Yung-tsung Hsu | Dentist | 1919 7th Ave S Rm 534, Birmingham, AL 35294-0001 | 2007-03-02 |
| 1508901414 | Luis Fernando Cabrera | Dentist | 3265 Cahaba Heights Rd, Birmingham, AL 35243 | 2007-02-20 |
| 1114092442 | Perng-ru Liu | Dentist | 2501 Crossgate Pl, Birmingham, AL 35216-3116 | 2006-11-21 |
| 1245303593 | Sandra Jean Oneal | Dentist | 1919 7th Ave South Sdb Box 538, Birmingham, AL 35294-0001 | 2006-11-16 |
| 1700960077 | Jerry W Reasner | Dentist | 924 Montclair Road, Suite 101, Birmingham, AL 35213 | 2006-10-24 |
| 1497396303 | Stephen Liu | Dentist | 1919 7th Ave S, Birmingham, AL 35233-2005 | 2019-10-01 |
| 1881126910 | Celin Arce | Dentist | 1919 7th Ave S, Uab Dental Group, Birmingham, AL 35233-2005 | 2017-03-29 |
| 1811243140 | Michael Thomas Kase | Dentist | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2012-07-24 |
| 1891027488 | John B Oettinger | Dentist | 1919 7th Ave S, Sdb 418, Birmingham, AL 35233-2005 | 2010-02-05 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35233 |
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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.