JOHN C. BRADLEY (NPI# 1871660555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871660555 |
| Entity Type | Individual |
| Full Name | JOHN C. BRADLEY |
| Credential | CRNA |
| Practice Address |
9104 Market St Wilmington NC 28411-7994 |
| Mailing Address |
Po Box 18139 Raleigh NC 27619-8139 |
| Practice Telephone | 3016943400 |
| Practice Fax Number | 3016943620 |
| Mailing Telephone | 6365492380 |
| Mailing Fax Number | 3145695974 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R118379 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS | KBC1CH | 01 |
| MD | LICENSE | R118379 | 01 |
| MD | 403621200 | 05 | |
| DC | CAREFIRST BCBS | S417 0030 | 01 |
| MD | MEDICARE RAILROAD (GRP PTAN DD6120) | P00745073 | 01 |
| MD | MEDICARE RAILROAD (GRP PTAN CJ8689) | P00728709 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
| 1467743740 | John R Bradley | Pharmacist | 2669 Canal St, New Orleans, LA 70119-6409 | 2011-04-21 |
| 1013244508 | John Clarence Bradley | Counselor | 8801 Nw 121st St, Oklahoma City, OK 73162-1143 | 2009-11-04 |
| 1700042470 | John Vinson Bradley | Social Worker | 408 Amquiwood Ct, Madison, TN 37115-2657 | 2008-08-01 |
| 1336329424 | John Bradley | Pharmacist | 1287 Hencoop Rd, Skaneateles, NY 13152-9630 | 2007-11-06 |
| 1295811297 | John Bradley | Physical Therapist | 720 Yorklyn Road, Suite 150, Hockessin, DE 19707 | 2006-10-31 |
| 1003820028 | John Mackemer Bradley | Psychologist | 1777 S Harrison St Ste 805, Denver, CO 80210-3933 | 2006-07-27 |
| 1194335588 | John Bradley | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2020-07-31 |
| 1720600638 | John Francis Bradley | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
| 1033770748 | John Jackson Bradley | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry Residency, 980710, 1250 E. Marshall Street, Richmond, VA 23298-0710 | 2019-06-24 |
| Street Address |
9104 MARKET ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28411-7994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447344 | Christopher A Dixon | Anesthesiology | 9104 Market St, Wilmington, NC 28411-7994 | 2005-06-16 |
| 1366748493 | Elizabeth Paige Ulcak | Nurse Anesthetist, Certified Registered | 9104 Market St, Wilmington, NC 28411-7994 | 2011-02-08 |
| 1942334065 | Atlantic Surgicenter, LLC | Clinic/Center | 9104 Market St, Wilmington, NC 28411-7994 | 2007-03-14 |
| 1477603785 | Brenda B Hall | Nurse Anesthetist, Certified Registered | 9104 Market St, Wilmington, NC 28411-7994 | 2007-01-11 |
| 1104983477 | Ji Yun Rebekah Robinson | Nurse Anesthetist, Certified Registered | 9104 Market St, Wilmington, NC 28411-7994 | 2007-01-03 |
| 1629165568 | Sekina Arnold Showers | Nurse Anesthetist, Certified Registered | 9104 Market St, Wilmington, NC 28411-7994 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744941 | Mercedes Wilkins Mclaughlin | Social Worker | 7008 Cape Harbor Dr Apt A, Wilmington, NC 28411 | 2018-06-18 |
| 1619480811 | Physical Therapy Services of Wilmington At Porter's Neck, LLC | Physical Therapist | 167 Porters Neck Road, Suite D, Suite D, Wilmington, NC 28411 | 2017-11-09 |
| 1578954970 | Erin Fitzpatrick Vasquez | Physical Therapist | 441 Biscayne Dr., Wilmington, NC 28411 | 2015-02-07 |
| 1679961932 | Sheena Cannady | Occupational Therapy Assistant | 7205 Savanna Run Loop, Wilmington, NC 28411 | 2015-01-08 |
| 1548510753 | Lindsey Tarrant Pediatric Speech Pathology Services | Speech-Language Pathologist | 7842 Olde Pond Rd, Wilmington, NC 28411 | 2012-09-14 |
| 1912224601 | Michele Ann Hardee | Physical Therapy Assistant | 1011 Porters Neck Road, Wilmington, NC 28411 | 2010-04-21 |
| 1629216577 | Plantation Village | In Home Supportive Care | 1200 Porters Neck Rd, Wilmington, NC 28411 | 2009-01-30 |
| 1467606095 | Dana B. Shumate Dds, Pa | Dentist | 8131 Market St, Wilmington, NC 28411 | 2008-11-10 |
| 1427212745 | Malgorzata Maria Betkowski | Counselor | 8044 Market Street, Suite D, Wilmington, NC 28411 | 2008-07-16 |
| 1366625014 | The Lawson's House | Day Training, Developmentally Disabled Services | 6622 F Gordan Rd, Wilmington, NC 28411 | 2007-12-17 |
| Find all providers in zip 28411 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588033450 | Amy Landis Formyduval | Nurse Anesthetist, Certified Registered | 6404 Spicewood St, Wilmington, NC 28405-7756 | 2015-09-21 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1316210388 | Anesthesia Care Associates Inc. LLC | Nurse Anesthetist, Certified Registered | 7 Madelyn Ave, Wilmington, DE 19803-3964 | 2012-02-21 |
| 1891020103 | Jessica Lynn Jeffries | Nurse Anesthetist, Certified Registered | 5003 Lady Fern Ct, Wilmington, NC 28409-3976 | 2009-10-05 |
| 1780863068 | John R Shulse | Nurse Anesthetist, Certified Registered | 1602 Physicians Dr Ste 104, Wilmington, NC 28401-7350 | 2007-11-02 |
| 1073652780 | Sharon A Griffith | Nurse Anesthetist, Certified Registered | 807 W Main St, Wilmington, OH 45177-0868 | 2007-02-06 |
| 1073662839 | Paula Kay Lavigne | Nurse Anesthetist, Certified Registered | 1415 Medical Center Dr, Wilmington, NC 28401 | 2007-01-10 |
| 1033142765 | Cynthia Merrell | Nurse Anesthetist, Certified Registered | 2131 South 17th Street, Wilmington, NC 28401 | 2006-07-08 |
| 1902836059 | Ellen Cosby | Nurse Anesthetist, Certified Registered | 2005 Limestone Rd, Suite 5, Wilmington, DE 19808-5505 | 2006-07-04 |
| 1518997626 | Aleen Joy Wilker | Nurse Anesthetist, Certified Registered | 7th and Clayton Sts, 4th Floor Anesthesia, Wilmington, DE 19805 | 2006-07-04 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28411 |
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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.