Stephani C Bradley (NPI# 1275626913, PAC ID# 3375596414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275626913 |
| PAC ID by PECOS | 3375596414 |
| Professional Enrollment ID | I20050301000259 |
| Full Name | Stephani C Bradley |
| Address |
120 Flag Lake Dr Suite 2 Lake Jackson TX 77566-6292 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450072 | CHI ST. LUKES' BRAZOSPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 120 Flag Lake Dr, Suite 2, Lake Jackson, TX 77566-6292 |
| Street Address |
120 FLAG LAKE DR SUITE 2 |
| City | LAKE JACKSON |
| State | TX |
| Zip | 77566-6292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Long | Nurse Practitioner | Baylor St Lukes Medical Group | 120 Flag Lake Dr, Suite 1, Lake Jackson, TX 77566-6292 |
| Na Vang | Family Medicine | Baylor St Lukes Medical Group | 120 Flag Lake Dr, Suite 1, Lake Jackson, TX 77566-6292 |
| Charles E Vega | Orthopedic Surgery | Baylor St Lukes Medical Group | 120 Flag Lake Dr, Suite 1, Lake Jackson, TX 77566-6292 |
| Samuel L Hudson | Orthopedic Surgery | Baylor St Lukes Medical Group | 120 Flag Lake Dr, Suite 1, Lake Jackson, TX 77566-6292 |
| Nancy C Brownlee | Nurse Practitioner | Baylor St Lukes Medical Group | 120 Flag Lake Dr, Suite 1, Lake Jackson, TX 77566-6292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Gilliland | Obstetrics/gynecology | 215 Oak S Dr D, Lake Jackson, TX 77566 | |
| William Jackson Jr. | Optometry | 100 Hwy 332 W, Suite 1096, Lake Jackson, TX 77566-4014 | |
| Julie T Nguyen | Optometry | 121 Hwy 332 W, Suite 100, Lake Jackson, TX 77566-4015 | |
| Brian K Shandley | Optometry | 120 Hwy 332 W, Suite A5, Lake Jackson, TX 77566-4017 | |
| Donald C Stran | Podiatry | S and S Foot Specialists, Pa | 121 W Hwy 332, Lake Jackson, TX 77566-4099 |
| Jana Emola | Qualified Audiologist | 135 Oyster Creek Dr, Suite H, Lake Jackson, TX 77566-4118 | |
| Jeevan C Gowda | Internal Medicine | 135 Oyster Creek Dr, Lake Jackson, TX 77566-4183 | |
| Richard D Hosack | Podiatry | 114 Scarlet Oak St, Lake Jackson, TX 77566-4352 | |
| Robert G Haws | Optometry | 126 Oyster Creek Dr, A, Lake Jackson, TX 77566-4463 | |
| Karen Millender | Family Medicine | Baylor St Lukes Medical Group | 210 Lake Rd, Suite 300, Lake Jackson, TX 77566-4982 |
| Find all physicians in zip 77566 | |||
| City | LAKE JACKSON |
| Zip Code | 77566 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephani C 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.