BRADLEY DUNKIN (NPI# 1942499355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942499355 |
Entity Type | Individual |
Full Name | BRADLEY DUNKIN |
Credential | MD |
Practice Address |
4331 Churchman Ave Suite 101 Louisville KY 40215-1164 |
Practice Telephone | 5023640902 |
Practice Fax Number | 5023640099 |
Mailing Telephone | 5023640902 |
Mailing Fax Number | 5023640099 |
Enumeration Date | 2007-10-22 |
Last Update Date | 2019-12-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 57013901 | OH | Allopathic & Osteopathic Physicians |
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
45243 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | PASSPORT HEALTH PLAN | 50053566 | 01 |
KY | 7100375420 | 05 |
Street Address |
4331 CHURCHMAN AVE SUITE 101 |
City | LOUISVILLE |
State | KY |
Zip Code | 40215-1164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295734747 | Kirk A Fougnie | Physician Assistant | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2005-07-18 |
1780139295 | Natalie Wise Jeffries | Physician Assistant | 4331 Churchman Ave, Ste 101, Louisville, KY 40215 | 2016-08-25 |
1710221015 | Kelly J Boone | Physical Therapist | 4331 Churchman Ave, Louisville, KY 40215-1164 | 2012-11-27 |
1508161217 | Allyson R. Dockery Santos Pereira | Physical Therapist | 4331 Churchman Ave, Suite 102, Louisville, KY 40215-1164 | 2011-01-12 |
1194932459 | Physical Therapy Associates Inc | Physical Therapist | 4331 Churchman Ave, Louisville, KY 40215-1164 | 2007-05-17 |
1598817785 | Keith John Henson | Physical Therapist | 4331 Churchman Ave, Suite 102, Louisville, KY 40215-1164 | 2007-01-17 |
1992852909 | David Rhoads | Specialist | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2007-01-04 |
1902987704 | Cindy K Sampson | Physician Assistant | 4331 Churchman Ave, Ste 101, Louisville, KY 40215-1164 | 2006-10-18 |
1528093762 | Pomeroy & Rhoads Orthopedics Pllc | Durable Medical Equipment & Medical Supplies | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2006-07-12 |
1134185150 | Peter J Buecker | Orthopaedic Surgery | 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164 | 2006-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
Find all providers in zip 40215 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467590190 | Ryan Jeffrey Krupp | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2007-02-02 |
1720099187 | Michael P Wertz | Orthopaedic Surgery | 1032 S 88th St, Louisville, CO 80027-4644 | 2006-08-11 |
1376554741 | John David Grauer | Orthopaedic Surgery | 80 Health Park Dr Ste 270, Louisville, CO 80027-4644 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720349558 | Christopher J Schaefer | Orthopaedic Surgery | 740 S Limestone Rm K401, Lexington, KY 40536-0001 | 2012-06-07 |
1396057527 | Jarrod Russell Smith | Orthopaedic Surgery | 1000 Ashland Dr Ste 105, Ashland, KY 41101-7092 | 2010-07-02 |
1578797395 | Jerrod J Felder | Orthopaedic Surgery | 740 S. Limestone Street, K401 Kentucky Clinic, Lexington, KY 40536-0284 | 2009-05-07 |
1992832679 | Advanced Orthopaedics and Sports Medicine of Ky Pllc | Orthopaedic Surgery | 789 Eastern Byp Ste 5, Richmond, KY 40475-2407 | 2007-02-28 |
1437798261 | Jorge Jackson | Orthopaedic Surgery | 2831 New Hartford Rd, Owensboro, KY 42303 | 2019-12-26 |
1558916601 | Kayla Hanson | Orthopaedic Surgery | 101 Windsor Path, Georgetown, KY 40324-9617 | 2019-08-06 |
1033601091 | Orthocincy | Orthopaedic Surgery | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2018-06-05 |
1770932980 | Smith Orthopedics & Sports Medicine, Psc | Orthopaedic Surgery | 1000 Ashland Dr, Ste. 105, Ashland, KY 41101-7084 | 2016-06-08 |
1245593946 | Orthocincy | Orthopaedic Surgery | 1955 Dixie Hwy, Suite K, Ft Wright, KY 41011-2792 | 2012-06-19 |
1760779466 | Spring View Physician Practices, LLC | Orthopaedic Surgery | 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 | 2011-07-01 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40215 |
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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.