BRADLEY DUNKIN


Address: 4331 Churchman Ave, Suite 101, Louisville, KY 40215-1164
Phone: 5023640902

BRADLEY DUNKIN (NPI# 1942499355) 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) 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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY PASSPORT HEALTH PLAN 50053566 01
KY 7100375420 05

Office Location

Street Address 4331 CHURCHMAN AVE
SUITE 101
City LOUISVILLE
State KY
Zip Code 40215-1164

Providers in the same location

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
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Providers in the same zip code

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
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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
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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
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

Providers in the same taxonomy and state

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
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Competitor

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City LOUISVILLE
Zip Code 40215

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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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