Kathleen Q Bradley (NPI# 1225480551, PAC ID# 2961770409) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225480551 |
| PAC ID by PECOS | 2961770409 |
| Professional Enrollment ID | I20170626000016 |
| Full Name | Kathleen Q Bradley |
| Organization Legal Name | DYNAMIC HEALTH MEDICAL GROUP PLLC |
| Address |
4705 S Blvd Charlotte NC 28217-2117 |
| Phone Number | 7045256288 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941548994 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4705 S Blvd, Charlotte, NC 28217-2117 | 7045256288 | DYNAMIC HEALTH MEDICAL GROUP PLLC |
| 4707 S Blvd, Charlotte, NC 28217-2117 | 7045256288 | DYNAMICHEALTH2YOU, PLLC |
| Organization Legal Name | DYNAMIC HEALTH MEDICAL GROUP PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Barbu | Nurse Practitioner | Dynamic Health Medical Group Pllc | 4705 S Blvd, Charlotte, NC 28217-2117 |
| David N Smith | General Practice | Dynamic Health Medical Group Pllc | 4705 S Blvd, Charlotte, NC 28217-2117 |
| Alisa L Walker | Nurse Practitioner | Dynamic Health Medical Group Pllc | 4705 S Blvd, Charlotte, NC 28217-2117 |
| Street Address |
4705 S BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28217-2117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Barbu | Nurse Practitioner | Dynamic Health Medical Group Pllc | 4705 S Blvd, Charlotte, NC 28217-2117 |
| David N Smith | General Practice | Dynamic Health Medical Group Pllc | 4705 S Blvd, Charlotte, NC 28217-2117 |
| Alisa L Walker | Nurse Practitioner | Dynamic Health Medical Group Pllc | 4705 S Blvd, Charlotte, NC 28217-2117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Obinna C Oriaku | Hospitalist | 4500 S Tryon St, Charlotte, NC 28217-1842 | |
| Salomon Guillermo Pinargote Sanchez | Physician Assistant | Dynamichealth2you, Pllc | 4707 S Blvd, Charlotte, NC 28217-2117 |
| James W Altizer | Peripheral Vascular Disease | Dynamic Health and Pain Management, Pllc | 4707 S Blvd, Charlotte, NC 28217-2117 |
| Allyson A Robinson | Clinical Social Worker | Pinnacle Point Supportive Services, LLC | 415 Minuet Ln, Suite G, Charlotte, NC 28217-2701 |
| Jessica E Marge | Clinical Social Worker | 1511 Shopton Rd C, Charlotte, NC 28217-3240 | |
| Grant K Lisetor | Chiropractic | 624 Tyvola Rd, Suite 100, Charlotte, NC 28217-3585 | |
| Michael J Carlisle | Chiropractic | 5306 S Blvd, B, Charlotte, NC 28217-4116 | |
| Cleo Smith | Optometry | Myeyedr Optometry of North Carolina Pllc | 5330 S Blvd B, Charlotte, NC 28217-4116 |
| Gooya Goudarzi | Optometry | Myeyedr Optometry of North Carolina Pllc | 5330 S Blvd B, Charlotte, NC 28217-4116 |
| William Carlisle | Chiropractic | Carlisle Chiropractic Clinic | 5306 S Blvd, Charlotte, NC 28217-4116 |
| Find all physicians in zip 28217 | |||
| City | CHARLOTTE |
| Zip Code | 28217 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLOTTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kathleen Q Bradley.
| 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.