BRADLEY HUTCHINSON (NPI# 1922008168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922008168 |
| Entity Type | Individual |
| Full Name | BRADLEY HUTCHINSON |
| Credential | CRNA |
| Practice Address |
Rr 5 Box 20 Grundy VA 24614-9611 |
| Practice Telephone | 2769351129 |
| Practice Fax Number | 2769351538 |
| Mailing Telephone | 2769351129 |
| Mailing Fax Number | 2769351538 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 0001147269 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MTN STATE BCBS | 001717382 | 01 |
| VA | 8939438 | 05 | |
| WV | WV MCAD | 2602581000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368351 | Bradley Chase Hutchinson | Massage Therapist | 131 Savannah Ave, Pleasant View, TN 37146-7165 | 2020-08-28 |
| Street Address |
RR 5 BOX 20 |
| City | GRUNDY |
| State | VA |
| Zip Code | 24614-9611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235269630 | Pamela R Hinkle | Registered Nurse | Rr 5 Box 20, Grundy, VA 24614-9611 | 2007-03-06 |
| 1447380746 | Glenna P Cantrell | Speech-Language Pathologist | Rr 5 Box 20, Grundy, VA 24614-9611 | 2007-03-06 |
| 1306974456 | Jonathan Ryan Woods | Pharmacist | Rr 5 Box 20, Grundy, VA 24614-9611 | 2007-03-01 |
| 1437170354 | Angel M. San Jose, M.d., P.C. | Surgery | Rr 5 Box 20, Suite 207, Grundy, VA 24614-9611 | 2006-07-23 |
| 1194758326 | Angel Molina San Jose | Surgery | Rr 5 Box 20, Suite 207, Grundy, VA 24614-9611 | 2006-07-09 |
| 1184625337 | Paul J Petrozzo | Radiology | Rr 5 Box 20, State Route 83, Grundy, VA 24614-9611 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1881980647 | Ngd Incorporated | Pharmacy | 1063 Edgewater Dr., Grundy, VA 24614 | 2011-06-21 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1477889111 | Susan Buskill Fogg | Counselor | 19873 Riverside Drive, Grundy, VA 24614 | 2009-10-31 |
| 1336396043 | Maranda Gayle Fletcher-meadows | Speech-Language Pathologist | 5820 Slate Creek Road, Grundy, VA 24614 | 2008-08-25 |
| 1528282241 | Joshua P Sutherland Jr PC | Family Medicine | 20886 Riverside Drive, Grundy, VA 24614 | 2007-04-12 |
| 1043339989 | Grundy Internal Medicine, PC | Internal Medicine | 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 | 2007-03-29 |
| Find all providers in zip 24614 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215274618 | Lisa C Gander | Anesthesiologist Assistant | 816 Independence Blvd Ste 2g, Virginia Beach, VA 23455-6010 | 2013-01-07 |
| 1679537880 | Jeanette Loretta Coffee | Anesthesiologist Assistant | 113 Signature Way, Hampton, VA 23666-5966 | 2006-04-14 |
Please comment or provide details below to improve the information on BRADLEY HUTCHINSON.
| 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.