Mashelle B Bradford (NPI# 1225097165, PAC ID# 4183606288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225097165 |
| PAC ID by PECOS | 4183606288 |
| Professional Enrollment ID | I20040602001583 |
| Full Name | Mashelle B Bradford |
| Organization Legal Name | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
| Address |
16526 Nc Hwy 87 W Tar Heel NC 28392-8608 |
| Phone Number | 9108626142 |
| Gender | F |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2163409558 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16526 Nc Hwy 87 W, Tar Heel, NC 28392-8608 | 9108626142 | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
| Organization Legal Name | TRI COUNTY COMMUNITY HEALTH COUNCIL INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Witthar | Clinical Social Worker | Tri County Community Health Council Inc | 341 -a Whiteville Rd, Shallotte, NC 28470-4507 |
| Tory Graham | Clinical Social Worker | Tri County Community Health Council Inc | 306 Beaman St, Clinton, NC 28328-2908 |
| Lynn Zink | Nurse Practitioner | Tri County Community Health Council Inc | 4311 Old Ocean Hwy, Bolivia, NC 28422-8637 |
| Thanh T Tran | Physician Assistant | Tri County Community Health Council Inc | 70 Crape Myrtle Dr, Suite 104, Benson, NC 27504-8034 |
| April N Burks | Family Medicine | Tri County Community Health Council Inc | 500 S Fayetteville St, Salemburg, NC 28385-8406 |
| Keven Mctavish Smeekens | Nurse Practitioner | Tri County Community Health Council Inc | 3331 Easy St, Dunn, NC 28334-7988 |
| Tina T Bean | Nurse Practitioner | Tri County Community Health Council Inc | 194 Tomahawk Hwy, Harrells, NC 28444-9765 |
| Richelle Bangi | Physician Assistant | Tri County Community Health Council Inc | 3331 Easy St, Dunn, NC 28334-7988 |
| Cathy C Belk | Family Medicine | Tri County Community Health Council Inc | 3331 Easy St, Dunn, NC 28334-7988 |
| Mohamed B Osman | Family Medicine | Tri County Community Health Council Inc | 70 Crape Myrtle Dr, Suite 104, Benson, NC 27504-8034 |
| Street Address |
16526 NC HWY 87 W |
| City | TAR HEEL |
| State | NC |
| Zip | 28392-8608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Smith | Family Medicine | Tri County Community Health Council Inc | 16526 Nc Hwy 87 W, Tar Heel, NC 28392-8608 |
| City | TAR HEEL |
| Zip Code | 28392 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TAR HEEL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mashelle B Bradford.
| 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.