BRADLEY ANDERSON (NPI# 1912401209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912401209 |
| Entity Type | Individual |
| Full Name | BRADLEY ANDERSON |
| Credential | RDN |
| Practice Address |
1025 South Trimble Rd. Mansfield OH 44906 |
| Practice Telephone | 4195294602 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016319 | Bradley William Anderson | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Fl 3, Tulsa, OK 74127-9023 | 2019-04-08 |
| 1790022382 | Bradley Alan Anderson | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
| 1952664260 | Bradley Anderson | Internal Medicine | 1025 E 3300 S Ste B, Salt Lake City, UT 84106 | 2012-06-21 |
| 1174758361 | Bradley Jon Anderson | Dentist | 4521 38th Ave S, Fargo, ND 58104-8507 | 2009-05-18 |
| 1184880635 | Bradley Richard Anderson | Occupational Therapist | 609 Arbor Ct, Highland Village, TX 75077-7569 | 2008-08-04 |
| 1720265820 | Bradley Richard Anderson | Dentist | 11420 W Broad Street, Glen Allen, VA 23060 | 2008-01-31 |
| 1023058757 | Bradley Todd Anderson | Family Medicine | 28622 E 141st St S, Coweta, OK 74429-7515 | 2006-06-08 |
| 1528459633 | Bradley Anderson | Physical Therapist | 75 Minges Creek Pl, Battle Creek, MI 49015-4201 | 2015-02-11 |
| 1356769137 | Bradley Troy Anderson | Pediatrics | 19245 7th Ave Ne, Poulsbo, WA 98370-6551 | 2014-03-31 |
| 1649533878 | Bradley W Anderson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2012-06-22 |
| Street Address |
1025 SOUTH TRIMBLE RD. |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| 1780974766 | Tori Bailey Burnworth | Occupational Therapist | 1750 W. 4th Street, Mansfield, OH 44906 | 2011-04-12 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194367011 | Sarah Wilcox | Dietitian, Registered | 1710 Us 287 N Ste. 300, Mansfield, TX 76063-7606 | 2019-10-11 |
| 1295382950 | Kristen Jill Wilck | Dietitian, Registered | 1101 Norwood St, Mansfield, TX 76063-2388 | 2019-08-19 |
| 1457781494 | Bonnie Frizzell | Dietitian, Registered | 1 Colt Ct, Mansfield, TX 76063-5170 | 2013-11-12 |
| 1730459884 | Christine Carroll | Dietitian, Registered | 391 Franklin St, Mansfield, MA 02048-1683 | 2012-01-06 |
| 1063789493 | Valerie Kay Mckelvey | Dietitian, Registered | 681 Park Ave W, Mansfield, OH 44906-3703 | 2011-11-30 |
| 1609182047 | Lesley Rae Lovely | Dietitian, Registered | 3100 Suffolk Dr, Mansfield, TX 76063-4060 | 2010-08-23 |
| 1164656450 | Barbara J Nalen-cardosa | Dietitian, Registered | 1160 East St, Mansfield, MA 02048-3412 | 2009-05-14 |
| 1639341761 | Ola Doris Ogunmakin | Dietitian, Registered | 613 Dover Heights Trl, Mansfield, TX 76063-2879 | 2008-03-28 |
| 1578581583 | Rosamond A Mccann | Dietitian, Registered | 150 Rumford Ave Apt 316, Mansfield, MA 02048-2150 | 2006-07-17 |
| 1174589287 | Sherri C. Stager | Dietitian, Registered | 17 N Main St, Mansfield, PA 16933-1403 | 2006-04-26 |
| Find all providers in MANSFIELD | ||||
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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.