DR. BRADLEY STEPHEN GREENBAUM


Address: 15825 Laguna Canyon Rd Ste 103, Irvine, CA 92618-2126
Phone: 9494511454

DR. BRADLEY STEPHEN GREENBAUM (NPI# 1942360268) 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) 1942360268
Entity Type Individual
Full Name DR. BRADLEY STEPHEN GREENBAUM
Credential M.D.
Practice Address 15825 Laguna Canyon Rd Ste 103
Irvine
CA 92618-2126
Mailing Address 12180 Glines Ct
Tustin
CA 92782-1289
Practice Telephone 9494511454
Practice Fax Number 9494511452
Mailing Telephone 7143896266
Enumeration Date 2006-12-08
Last Update Date 2013-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
G80514 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 15825 LAGUNA CANYON RD STE 103
City IRVINE
State CA
Zip Code 92618-2126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780705566 Orange County Orthopaedics & Sports Medical Group, Inc Physical Therapist 15825 Laguna Canyon Rd Ste 103, Irvine, CA 92618-2126 2007-04-02
1497896054 Mark Boone Allen Physical Therapist 15825 Laguna Canyon Rd Ste 103, Irvine, CA 92618-2126 2007-02-08

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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528041704 Bruce M Albert Orthopaedic Surgery 4980 Barranca Pkwy, Suite 201, Irvine, CA 92604-8645 2005-11-22
1316943129 Todd W Peters Orthopaedic Surgery 15785 Laguna Canyon Rd Ste 125, Irvine, CA 92618-3140 2005-06-27
1972821072 Michael Weathers Orthopaedic Surgery 6670 Alton Pkwy, Irvine, CA 92618-3734 2010-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790341618 Casey S Revenko Orthopaedic Surgery 2999 Regent St Ste 225, Berkeley, CA 94705-2117 2019-05-15
1225504301 Amgad Alfred Orthopaedic Surgery 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 2018-10-16
1386136430 Valley River Orthopedics and Sports Medicine Orthopaedic Surgery Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 2018-06-05
1073026696 Optimal Physician Surgical Group Orthopaedic Surgery 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 2017-11-06
1336669456 Beach Cities Orthopedics Surgery Center, LLC Orthopaedic Surgery 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 2017-06-20
1750818860 Health Link Medical Group Inc Orthopaedic Surgery 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 2017-05-19
1962861476 Mehta Orthopedics Orthopaedic Surgery 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 2016-02-12
1649646282 Bay Area Surgical Specialists, Inc. A Medical Corporation Orthopaedic Surgery 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 2015-08-18
1114346111 Sean Robinson Orthopaedic Surgery 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 2014-04-08
1851717938 William R Campbell Do Prof Corp Orthopaedic Surgery 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 2014-03-12
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Competitor

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City IRVINE
Zip Code 92618

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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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