Michael Joseph Bradburn (NPI# 1255746731, PAC ID# 3375858715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255746731 |
| PAC ID by PECOS | 3375858715 |
| Professional Enrollment ID | I20190731000651 |
| Full Name | Michael Joseph Bradburn |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Address |
409 Kings Rd S Callahan FL 32011-4128 |
| Phone Number | 9045493593 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9133025869 |
| Number of Group Practice Members | 575 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100001 | SHANDS JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 409 Kings Rd S, Callahan, FL 32011-4128 | 9045493593 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Organization Legal Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
| Physicians | 621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roselyn Perez | Clinical Social Worker | University of Florida Jacksonville Physicians, Inc. | 7645 Merrill Rd, Jacksonville, FL 32277-6573 |
| Amanda Salzburg | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 3122 New Berlin Rd, Jacksonville, FL 32226-1828 |
| Julia Holsomback | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 11481 Old Saint Augustine Rd, Suite 101, Jacksonville, FL 32258-1474 |
| Alan M Litwin | Diagnostic Radiology | University of Florida Jacksonville Physicians, Inc. | 4555 Emerson Expressway, Suite 120, Jacksonville, FL 32207-4958 |
| Jekeva Moss | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 1833 Boulevard Ave, Jacksonville, FL 32206-4394 |
| Kimberly Michelle Gomez | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 201 B Lakeshore Point, St Mary's, GA 31558 |
| Nicole Marie Alexander | Obstetrics/gynecology | University of Florida Jacksonville Physicians, Inc. | 1155 E 21st St, Jacksonville, FL 32206-2401 |
| Nicole A Kahhan | Clinical Psychologist | University of Florida Jacksonville Physicians, Inc. | 910 N Jefferson St, Jacksonville, FL 32209-6810 |
| Cristina Jorgensen | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 5205 Normandy Blvd, Suite 13, Jacksonville, FL 32205-4842 |
| Brittany Mazzeo | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 8274 Bayberry Rd, Jacksonville, FL 32256-7470 |
| Street Address |
409 KINGS RD S |
| City | CALLAHAN |
| State | FL |
| Zip | 32011-4128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan L Day | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Janet B Gilbert | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Timea Kecskemeti | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Martha M Hicks | Nurse Practitioner | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Raymond W Cast Jr. | Physician Assistant | University of Florida Jacksonville Physicians, Inc. | 409 Kings Rd S, Callahan, FL 32011-4128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Weaver | Chiropractic | Daniel R. Weaver Dc Pa | 542184 S Kings Rd, Suite 3b, Callahan, FL 32011-1107 |
| Eugenia J Ngo | Family Medicine | Florida Department of Health | 45377 Mickler St, Callahan, FL 32011-3001 |
| Kevin Fredenburg | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| James Marino | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Ryan Paul Redwine | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Paola Andrea Ortiz | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Christine M Lefko | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Anthony Michael Vogt | Physical Therapy | Nassau Physical Therapy Inc | 45390 Green Ave, Callahan, FL 32011-3711 |
| Marcia W Funderburk | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Judella E Haddad Lacle | Family Medicine | University of Florida Jacksonville Physicians, Inc. | 450077 State Rd, Suite 12, Callahan, FL 32011-3863 |
| Find all physicians in zip 32011 | |||
| City | CALLAHAN |
| Zip Code | 32011 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CALLAHAN + FAMILY MEDICINE |
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| 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.