BRADLEY L MANNING (NPI# 1912962523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912962523 |
| Entity Type | Individual |
| Full Name | BRADLEY L MANNING |
| Credential | MD |
| Practice Address |
1 S Park St Madison WI 53715 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082872500 |
| Practice Fax Number | 6082872550 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 19572 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801091889 | Bradley A Manning | Psychologist | 595 E Colorado Blvd Ste 635, Pasadena, CA 91101-2032 | 2007-06-19 |
| 1669695490 | Bradley Manning | Psychologist | 520 Kelly Ave #4, Half Moon Bay, CA 94019 | 2007-04-10 |
| 1619189404 | Bradley Bowker Manning | Psychiatry & Neurology | 887b Rio East Ct, Charlottesville, VA 22901-8004 | 2007-05-04 |
| 1881642049 | Bradley L. Manning IIi | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242 | 2006-05-04 |
| Street Address |
1 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023906 | Amorn Neil Salyapongse | Plastic Surgery | 1 S Park St, Division of Hand Surgery, Madison, WI 53715-1375 | 2005-09-19 |
| 1073112082 | Dorothy Anne Imhoff | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2020-10-21 |
| 1003459769 | Jessica Ann Nowak | Registered Nurse | 1 S Park St, Madison, WI 53715-1375 | 2019-10-24 |
| 1225688443 | Jing Y Ries | Occupational Therapist | 1 S Park St, Madison, WI 53715-1375 | 2019-09-19 |
| 1538719349 | Chad J. Hess | Physician Assistant | 1 S Park St, Madison, WI 53715-1375 | 2019-09-13 |
| 1295380566 | Leah O'connell | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2019-08-05 |
| 1326506031 | Jackie L Hill | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2019-03-12 |
| 1093279085 | Christie Lynn-warren King | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2019-01-24 |
| 1447746284 | University of Wisconsin Hospitals and Clinics Authority | Prosthetic/Orthotic Supplier | 1 S Park St, Madison, WI 53715-1375 | 2018-07-05 |
| 1982106555 | Traci L Gundlach | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2018-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821351107 | Sana L Bhatti | Plastic Surgery | 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 | 2012-06-21 |
| 1508122938 | Stephanie Suprenant | Plastic Surgery | Uw Hospital and Clinics 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2012-04-10 |
| 1639320864 | Mississippi Premier Plastic Surgery, Pllc | Plastic Surgery | 160 Fountains Blvd, Suite B, Madison, MS 39110-4643 | 2008-10-07 |
| 1285642595 | Leon A Goldstein | Plastic Surgery | 141 Durham Rd Ste 23, Madison, CT 06443-2658 | 2006-08-03 |
| 1689615486 | Somprasong Songcharoen | Plastic Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110 | 2006-06-10 |
| 1225023906 | Amorn Neil Salyapongse | Plastic Surgery | 1 S Park St, Division of Hand Surgery, Madison, WI 53715-1375 | 2005-09-19 |
| 1437783131 | Megan Perinovic | Plastic Surgery | 750 Highland Ave, Madison, WI 53705-2221 | 2020-03-03 |
| 1710478573 | Ethan Laghi Mackenzie | Plastic Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2018-05-28 |
| 1134654924 | Jacob Michael Marks | Plastic Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2017-04-28 |
| 1831552041 | Carol Elaine Soteropulos | Plastic Surgery | Uw Hospitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2016-04-04 |
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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.