DR. MACON SAMUEL BRADLEY (NPI# 1851521744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851521744 |
| Entity Type | Individual |
| Full Name | DR. MACON SAMUEL BRADLEY |
| Credential | D.O. |
| Practice Address |
153 Dowell Rd Russell Springs KY 42642-4579 |
| Mailing Address |
P.o. Box 1610 Dowell Rd Russell Springs KY 42642 |
| Practice Telephone | 2708664141 |
| Mailing Telephone | 2708664141 |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 03294 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 03294 | KY | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
03294 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
153 DOWELL RD |
| City | RUSSELL SPRINGS |
| State | KY |
| Zip Code | 42642-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013954437 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-06-02 |
| 1285247304 | Abigail L Eads | Dietitian, Registered | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2020-08-28 |
| 1245873090 | Jatessia Marcum | Nurse Practitioner | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2019-10-24 |
| 1902361165 | Russell County Hospital | Physician Assistant | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2019-02-01 |
| 1346721164 | Craig Allen Cooley | Physician Assistant | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2018-08-29 |
| 1477729218 | Stephen Aitken | Nurse Anesthetist, Certified Registered | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2008-05-01 |
| 1225187206 | Russell County Radiology, Psc | Radiology | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2007-01-09 |
| 1902963473 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2007-01-03 |
| 1538255948 | Russell County Hospital | Emergency Medical Technician, Basic | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-10-04 |
| 1437245842 | Russell County Hospital | Nurse Anesthetist, Certified Registered | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1629459912 | Ephraim Mcdowell Health Resources,inc | Physician Assistant | 92 Jt Petty Drive, Ste 300, Russell Springs, KY 42642 | 2015-06-12 |
| 1619397775 | Terri Susanne Jones Watkins Odpsc | Optometrist | 24 Caden Way, Suite 2, Russell Springs, KY 42642 | 2014-04-16 |
| 1548512247 | Charles Lenwood Gore | Pharmacist | 1372 Snow Rd, Russell Springs, KY 42642 | 2012-10-05 |
| 1407125016 | Avante Garde Health Centers, LLC | Clinic/Center | 72 Joe T Pettey Dr, Suite B, Russell Springs, KY 42642 | 2011-12-28 |
| 1821392515 | Southern Kentucky Medical Associates, Psc | Nurse Practitioner | 72 Joe T. Pettey Dr, Russell Springs, KY 42642 | 2011-01-10 |
| 1801106620 | Premiertox, Inc. | Clinical Medical Laboratory | 2431 Lakeway Drive, Suite A1, Russell Springs, KY 42642 | 2010-10-14 |
| 1639404593 | Rx Drug Monitoring Laboratory, LLC | Clinical Medical Laboratory | 660 Lakeway Drive, Suite A, Russell Springs, KY 42642 | 2009-10-11 |
| 1902079023 | Russell County Hospital | Specialist | 92 Jt Pettey Drive, Russell Springs, KY 42642 | 2008-04-09 |
| 1225242779 | Independent Speech Inc | Physical Therapist | 1831 Old Clear Springs Rd, Russell Springs, KY 42642 | 2007-05-10 |
| Find all providers in zip 42642 | ||||
| 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 |
|---|---|---|---|---|
| 1720620768 | Rachel L Arnold | Emergency Medicine | 702 N Maple Ave, Danville, KY 40422-1147 | 2019-10-10 |
| 1154976405 | Larry Dale Melton | Emergency Medicine | 7712 Cambridge Ct, Crestwood, KY 40014-8932 | 2019-08-05 |
| 1811484264 | Bellefonte Physician Services, Inc. | Emergency Medicine | 1816 Carter Ave Ste 2, Ashland, KY 41101-7643 | 2018-04-20 |
| 1093210338 | Emily Marsh | Emergency Medicine | 50 Woodson Way, Glasgow, KY 42141-3245 | 2018-03-28 |
| 1215464839 | Robert A Hudepohl | Emergency Medicine | 2487 Legends Way, Crestview Hills, KY 41017-3480 | 2017-05-12 |
| 1851822696 | Jonathan Walrath | Emergency Medicine | 48 Achates Dr, Florence, KY 41042-9753 | 2017-03-23 |
| 1194187179 | Russell Paul Landry IIi | Emergency Medicine | 1303 Us Hwy 127 S Ste 402, 367, Frankfort, KY 40601 | 2016-03-28 |
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1538543087 | David Sindler | Emergency Medicine | 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004-3264 | 2015-07-15 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELL SPRINGS |
| Zip Code | 42642 |
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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.