WILLIAM DALE BRADFORD (NPI# 1851579585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851579585 |
Entity Type | Individual |
Full Name | WILLIAM DALE BRADFORD |
Credential | MA,LISAC |
Practice Address |
483 West Seedfarm Road Sacaton AZ 85247-0038 |
Practice Telephone | 6025283321 |
Practice Fax Number | 6025281374 |
Mailing Telephone | 6025283321 |
Mailing Fax Number | 6025281374 |
Enumeration Date | 2008-02-05 |
Last Update Date | 2008-02-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-10982 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 346214 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487297511 | William Micheal Bradford | Behavioral Analyst | 1607 W 32nd St, Pueblo, CO 81008-1313 | 2019-10-22 |
1275067340 | William Bradford | Internal Medicine | 4150 V St Ste 3100, Sacramento, CA 95817-1460 | 2017-04-16 |
1467728550 | William Robert Bradford | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Ste 690, Louisville, KY 40202-3841 | 2012-03-22 |
1396748877 | William B Bradford | Radiology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | 2005-05-27 |
1598925125 | William Tate Bradford | Anesthesiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2008-06-17 |
1376748798 | William James Bradford | Counselor | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2007-06-16 |
1659488724 | William R Bradford | Surgery | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2006-08-24 |
1023046869 | William Bradford | Anesthesiology | 10000 W Colonial Dr, Ocoee, FL 34761-3498 | 2006-06-29 |
1033152343 | William S Bradford | Surgery | 617 S Main St, Reidsville, NC 27320-5019 | 2006-06-14 |
1477591642 | William Bradford | Emergency Medicine | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-06-02 |
Street Address |
483 WEST SEEDFARM ROAD |
City | SACATON |
State | AZ |
Zip Code | 85247-0038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316125958 | Saundra Gayle Bullock | Counselor | 483 West Seedfarm Road, Huhukam Hospital, Sacaton, AZ 85247-0038 | 2008-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669956157 | Lisa Marlene Valletta | Occupational Therapist | 338 S. Ocotillo Dr., Sacaton, AZ 85247 | 2018-09-20 |
1780831313 | Catherine Colella | Speech-Language Pathologist | Skill Center Road, Sacaton, AZ 85247 | 2008-08-26 |
1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
1962680470 | Donald A. Arntsen | Counselor | 483 W. Seedf Farm Rd, Sacaton, AR 85247 | 2008-02-06 |
1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
1821206855 | Ashley Anderson | Pharmacist | 483 West Farm Seed Road, Sacaton, AZ 85247 | 2007-05-21 |
1295957256 | Judy Ann Banta | Psychologist | 98 South Skill Center Road, Sacaton, AZ 85247 | 2007-05-02 |
1558499319 | Nathan Paul Long | Internal Medicine | 7929 Brookriver Dr. Ste. 165, Dallas, TX 85247 | 2007-03-01 |
1609929942 | S. Louise Chitwood | Pharmacist | Seed Farm Road, Sacaton, AZ 85247 | 2007-01-19 |
1417000803 | Thomas Alan Alpert | Pharmacist | 483 W Seedfarm Rd, Sacaton, AZ 85247 | 2007-01-19 |
Find all providers in zip 85247 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255602447 | Joyce Mildred Villalobos | Counselor | Gila River Health Care Corp, 483 W Seed Farm Rd, Sacaton, AZ 85147 | 2012-01-19 |
1447428206 | Janet M Carpentier | Counselor | 483 W Seedfarm Road, New Beginnings Bldg, Sacaton, AZ 85247 | 2008-02-14 |
1619155256 | Sharon J. Downer | Counselor | 483 W. Seedfarm Rd., Hu Hu Kam Memorial Hospital, Sacaton, AZ 85247-0038 | 2008-02-06 |
1508044223 | Ted Whitney Allison | Counselor | 483 Seed Farm Road, Sacaton, AZ 85247 | 2008-02-05 |
1639786890 | Juliandra Bailon | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-09-30 |
1518580158 | Charlie Ginn | Counselor | 291 W Casa Blanca Rd, Sacaton, AZ 85147 | 2020-05-18 |
1568098846 | Larissa Joelle Bloom | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-5000 | 2020-03-18 |
1912366980 | Rosalinda Sigarroba | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-18 |
1447619523 | Manny Athans | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147 | 2016-02-17 |
1336508415 | Hazel Long | Counselor | 483 W. Seed Farm Rd., Sacaton, AZ 85147-0001 | 2016-02-17 |
Find all providers in SACATON |
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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.