BRADLEY L HUBBARD (NPI# 1881663367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881663367 |
| Entity Type | Individual |
| Full Name | BRADLEY L HUBBARD |
| Credential | MD |
| Practice Address |
5325 Elliott Drive Ypsilanti MI 48197 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 - Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347128000 |
| Practice Fax Number | 7347124429 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 4301059044 | MI | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301059044 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3033426 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911067 | Bradley Hubbard | Chiropractor | 9412 E Hwy 71 Unit B, Spicewood, TX 78669-2532 | 2017-09-19 |
| 1548482243 | Bradley O Hubbard | Chiropractor | 1270 Springbrook Rd, Ste A, Walnut Creek, CA 94597-3971 | 2007-05-03 |
| 1124119854 | Bradley A Hubbard | Surgery | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2006-09-27 |
| 1083660245 | Bradley Brian Hubbard | Emergency Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2006-05-26 |
| Street Address |
5325 ELLIOTT DRIVE |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740505429 | Melissa Sue Halaby | Nurse Practitioner | 5325 Elliott Drive, Michigan Heart, Ypsilanti, MI 48197 | 2010-04-06 |
| 1851499099 | Karen Mary Park | Pain Medicine | 5325 Elliott Drive, Suite 100 St. Joseph Mercy Pain Institute, Ypsilanti, MI 48105-1566 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487072633 | Iha Health Services Organization | Internal Medicine | 5325 Elliott Dr, Suite 201, Ypsilanti, MI 48197-8633 | 2014-04-04 |
| 1316264096 | Kate Elizabeth Holtze | Internal Medicine | 5325 Elliott Dr, Ypsilanti, MI 48197 | 2010-04-21 |
| 1720221542 | Shilpa Reddy | Internal Medicine | 5325 Elliott Dr, Ypsilanti, MI 48197 | 2009-04-09 |
| 1265639520 | Usman Saeed Khokhar | Internal Medicine | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2007-06-29 |
| 1295892230 | Edwin Tigerenashe Zishiri | Internal Medicine | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2007-01-02 |
| 1083659486 | Zakir H Sahul | Internal Medicine | 5325 Elliott Dr, Ypsilanti, MI 48197-8633 | 2006-06-19 |
| 1891762936 | Frank Smith | Internal Medicine | 5325 Elliott Dr, Suite 203, Ypsilanti, MI 48197-8633 | 2006-03-08 |
| 1639146681 | Mark Zande | Internal Medicine | 5325 Elliott Dr, Suite 203, Ypsilanti, MI 48197-8633 | 2006-03-08 |
| 1780651885 | Mansoor Qureshi | Internal Medicine | 5325 Elliott Dr, Suite 203, Ypsilanti, MI 48197-8633 | 2006-03-07 |
| 1013984566 | Timothy Shinn | Internal Medicine | 5325 Elliott Dr, Suite 203, Ypsilanti, MI 48197-8633 | 2006-03-03 |
| Find all providers in YPSILANTI | ||||
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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.