BRADLEY JEROME WILLIS


Address: 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009
Phone: 3197307300

BRADLEY JEROME WILLIS (NPI# 1891175345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891175345
Entity Type Individual
Full Name BRADLEY JEROME WILLIS
Credential M.D.
Practice Address 1201 3rd Ave Se
Cedar Rapids
IA 52403-4009
Mailing Address 1260 2nd Ave Se
Cedar Rapids
IA 52403-4002
Practice Telephone 3197307300
Practice Fax Number 3197307368
Mailing Telephone 3192972300
Mailing Fax Number 3192972280
Enumeration Date 2015-05-30
Last Update Date 2015-06-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine R-10254 IA Allopathic & Osteopathic Physicians

Other Providers BRADLEY WILLIS

NPI Name Taxonomy Address Enumeration
1689782781 Bradley W Willis Dentist 8161 Seaton Place, Suite A, Montgomery, AL 36116 2006-08-28
1558893412 Bradley Willis Pharmacist 130 W Ravine Rd, Kingsport, TN 37660-3837 2017-03-30
1922419605 Bradley Willis Veterinarian 105 N Main St, Athens, IL 62613-8901 2014-05-15
1578777389 Bradley S Willis Family Medicine 400 Fairview Heights Rd, Summersville, WV 26651-9308 2007-05-10

Office Location

Street Address 1201 3RD AVE SE
City CEDAR RAPIDS
State IA
Zip Code 52403-4009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447244272 Sidney J Smith Obstetrics & Gynecology 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2005-09-08
1164049680 Brianne Renee Benjamin Nurse Practitioner 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2020-06-30
1467912402 Zahn Raubenheimer Student in an Organized Health Care Education/Training Program 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2019-03-25
1821583253 Tiernan Patrick Murphy Family Medicine 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-06-27
1619461357 Kati Ann Carpenter Nurse Practitioner 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-06-17
1699269431 Danielle Renee' Howsare Family Medicine 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-06-15
1891287744 Callie Rose Pittard Family Medicine 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-06-05
1073004222 Kyle Alan Cassidy-wescott Family Medicine 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-05-23
1932696242 Oleksandra Bem Family Medicine 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-04-23
1982111761 Natalie A Quinn Social Worker 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 2018-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093242083 Eric Burton Social Worker 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 2017-05-22
1619404613 Dylan Roberts Streb Family Medicine Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 2017-05-22
1760870851 Forefront Dermatology, S.c. Dermatology 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 2014-12-26
1801292883 Laura Pelechek Marriage & Family Therapist 1744 2nd Ave Se, Cedar Rapids, IA 52403 2014-11-18
1306090147 John Daniel Schuchmann Anesthesiology 3629 Random Road Se, Cedar Rapids, IA 52403 2008-11-06
1851564157 Cedar Rapids Medical Education Foundation Family Medicine 1260 Second Avenue S.e., Cedar Rapids, IA 52403 2008-04-08
1093866071 Mcld Corporation Durable Medical Equipment & Medical Supplies 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 2007-01-16
1154483980 James P Schuller Dentist 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 2006-12-15
1477640183 C R Iv Service Inc Home Health 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 2006-10-06
1104919638 C R Iv Service Inc Durable Medical Equipment & Medical Supplies 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 2006-10-02
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619404613 Dylan Roberts Streb Family Medicine Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 2017-05-22
1619422748 Mercy Physician Associates, Inc Family Medicine 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 2016-08-18
1295967677 Katherine Joanne Alatorre Family Medicine 4325 Williams Blvd Sw, Cedar Rapids, IA 52404-3436 2009-08-18
1649438383 Qadnana Atif Anwar Family Medicine 4325 Williamsa Blvd, Cedar Rapids, IA 52404 2008-05-29
1851564157 Cedar Rapids Medical Education Foundation Family Medicine 1260 Second Avenue S.e., Cedar Rapids, IA 52403 2008-04-08
1326260399 Robert Lynn Swaney Family Medicine 947 14th St Se, Cedar Rapids, IA 52401-2610 2007-05-02
1467504506 Jami A Maxson Family Medicine 2815 Edgewood Road S.w., Cedar Rapids, IA 52404 2007-01-17
1649359035 Nancy M Angenend Family Medicine 500 8th Ave Se, Cedar Rapids, IA 52401-2134 2006-11-04
1104912765 Marian L Barnes Family Medicine 3835 Cottage Grove Avenue Se, Cedar Rapids, IA 52403-2124 2006-10-04
1699880138 Affiliates of Family Practice of Cedar Rapids Family Medicine 1030 5th Avenue Se, Suite 1700, Cedar Rapids, IA 52403 2006-08-21
Find all providers in CEDAR RAPIDS

Competitor

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City CEDAR RAPIDS
Zip Code 52403

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Dataset Information

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.

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