Bradford Kent Mitchell (NPI# 1679667091, PAC ID# 0840329983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1679667091 |
| PAC ID by PECOS | 0840329983 |
| Professional Enrollment ID | I20151214001265 |
| Full Name | Bradford Kent Mitchell |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Address |
1200 E Michigan Ave Suite 655 Lansing MI 48912-1837 |
| Phone Number | 5172672460 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3870405954 |
| Number of Group Practice Members | 197 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1200 E Michigan Ave, Suite 655, Lansing, MI 48912-1837 | 5172672460 | MICHIGAN STATE UNIVERSITY |
| Organization Legal Name | MICHIGAN STATE UNIVERSITY |
| Physicians | 226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Marie Thomas | Physical Therapy | Michigan State University | 4660 S Hagadorn Rd, 400 Msu Rehabilitation, East Lansing, MI 48823-5353 |
| Jennifer Boote | Pediatric Medicine | Michigan State University | 7355 Westshire Dr, Suite 102, Lansing, MI 48917-9764 |
| Robert T Scott | Family Medicine | Michigan State University | 804 Service Rd Rm, A225, East Lansging, MI 48824-7040 |
| Christine L Shafer | Psychiatry | Michigan State University | 909 Fee Rd, Suite B119, East Lansing, MI 48824-6410 |
| Suresh Kumar Mukherji | Diagnostic Radiology | Michigan State University | 1500 S Main, Eaton Rapids, MI 48827-1952 |
| Sandra D Bulemore | Nurse Practitioner | Michigan State University | 138 Service Rd, A142, East Lansing, MI 48824-1376 |
| Albert Aniskiewicz | Psychologist, Clinical | Michigan State University | 804 Service Rd, Rm A217, East Lansing, MI 48824-7015 |
| Cheryl G Mills | Nurse Practitioner | Michigan State University | 4650 S Hagadorn Rd, 100 Msu Medicine Specialty Center, East Lansing, MI 48823-5386 |
| Joseph R Pernicone | Diagnostic Radiology | Michigan State University | 463 E Circle Dr Rm, 102 Michigan State University, East Lansing, MI 48824-1037 |
| Kevin Charles Robinson | Diagnostic Radiology | Michigan State University | 463 E Circle Dr, Olin Student Health Services, East Lansing, MI 48824-7500 |
| Street Address |
1200 E MICHIGAN AVE SUITE 655 |
| City | LANSING |
| State | MI |
| Zip | 48912-1837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Imu A Esmail | Anesthesiology | Physician Anesthesia Service PC | 1200 E Michigan Ave, Suite 370, Lansing, MI 48912-1897 |
| Paul A Goldshlack | Cardiovascular Disease (cardiology) | Capital Cardiology PC | 1200 E Michigan Ave, Suite 725, Lansing, MI 48912-1832 |
| Thereseann Marie Huprikar | Physical Medicine and Rehabilitation | Michigan State University | 1200 E Michigan Ave, Suite 520, Lansing, MI 48912-1899 |
| Shirin Elizabeth Clark | Family Medicine | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 655, Lansing, MI 48912-1837 |
| James Barton | Obstetrics/gynecology | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 345, Lansing, MI 48912-1894 |
| Jennifer M Edwards-johnson | Family Medicine | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 245a, Lansing, MI 48912-1852 |
| Christopher Thomas Huhta | Pulmonary Disease | Compass Healthcare Plc | 1200 E Michigan Ave, Sparrow Hospital, Lansing, MI 48912-1800 |
| Andrew M Duda | Thoracic Surgery | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 325, Lansing, MI 48912-1800 |
| Lavonna Lynnsilee Evans | Nurse Practitioner | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, 500 Sparrow Medical Group Lansing Internal Medicine, Lansing, MI 48912-1864 |
| Jordan L Klein | Pediatric Medicine | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 460, Lansing, MI 48912-1897 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn P Nevin | Family Practice | Edward W Sparrow Hospital Association | 430 N Larch St B, Lansing, MI 48912-1208 |
| Daniel J Triezenberg | Family Medicine | Edward W Sparrow Hospital Association | 430 N Larch St, Suite B, Lansing, MI 48912-1266 |
| Lauren C Allswede | Clinical Social Worker | 119 Pere Marquette Dr, Suite 2d, Lansing, MI 48912-1270 | |
| Jennifer Lynn Edgar | Nurse Practitioner | County of Ingham | 1115 S Pennsylvania Ave, River Oak Community Health Center, Lansing, MI 48912-1671 |
| Narasimha R Gundamraj | Anesthesiology | Anesthesia and Pain Management | 1200 E Michigan Ave Lower Level, Lansing, MI 48912-1800 |
| Angela C Griffin | Obstetrics/gynecology | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 325, Lansing, MI 48912-1800 |
| Elizabeth A Hamber | Anesthesiology | Anesthesia and Pain Management | 1200 E Michigan Ave Lower Level, Lansing, MI 48912-1800 |
| Sankar A Nair | Anesthesiology | Anesthesia and Pain Management | 1200 E Michigan Ave Lower Level, Lansing, MI 48912-1800 |
| Bethanie Mccullough | Nurse Practitioner | Edward W Sparrow Hospital Association | 1200 E Michigan Ave, Suite 325, Lansing, MI 48912-1800 |
| Kenneth E Thorp | Diagnostic Radiology | Lansing Radiology Associates P C | 1200 E Michigan Ave, Lansing, MI 48912-1800 |
| Find all physicians in zip 48912 | |||
| City | LANSING |
| Zip Code | 48912 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LANSING + GENERAL SURGERY |
Please comment or provide details below to improve the information on Bradford Kent Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.