Trina Louise Bradburd (NPI# 1215943568, PAC ID# 5698771905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215943568 |
| PAC ID by PECOS | 5698771905 |
| Professional Enrollment ID | I20061010000491 |
| Full Name | Trina Louise Bradburd |
| Organization Legal Name | BROD KOHUTIAK AND JAMALI LTD |
| Address |
1098 W Baltimore Pike Suite 3311 Media PA 19063-5139 |
| Phone Number | 6105657810 |
| Gender | F |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082699210 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390222 | RIDDLE MEMORIAL HOSPITAL |
| 390180 | CROZER CHESTER MEDICAL CENTER |
| 390195 | MAIN LINE HOSPITAL LANKENAU |
| 390179 | CHESTER COUNTY HOSPITAL |
| 390153 | PAOLI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1098 W Baltimore Pike, Suite 3311, Media, PA 19063-5139 | 6105657810 | BROD KOHUTIAK AND JAMALI LTD |
| Organization Legal Name | BROD KOHUTIAK AND JAMALI LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Centrone | Family Medicine | Brod Kohutiak and Jamali Ltd | 1098 W Baltimore Pike, Suite 3311, Media, PA 19063-5139 |
| Street Address |
1098 W BALTIMORE PIKE SUITE 3311 |
| City | MEDIA |
| State | PA |
| Zip | 19063-5139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hugo M Linares | Ophthalmology | Richard L Jahnle Md PC | 1098 W Baltimore Pike, Outpatient Pavilion Suite 3407, Media, PA 19063-5139 |
| Andrew L Pritchard | Optometry | Riddle Eye Associates P C | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 |
| Sean A Wright | Plastic and Reconstructive Surgery | 1098 W Baltimore Pike, Suite 3306, Media, PA 19063-5139 | |
| Richard Lawrence Jahnle | Ophthalmology | Richard L Jahnle Md PC | 1098 W Baltimore Pike, Outpatient Pavilion Suite 3407, Media, PA 19063-5139 |
| Edward J Mekel | Optometry | Richard L Jahnle Md PC | 1098 W Baltimore Pike, Outpatient Pavilion Suite 3407, Media, PA 19063-5139 |
| Vincent Mathew Digiovanni | Vascular Surgery | Main Line Healthcare | 1098 W Baltimore Pike, Suite 3308, Media, PA 19063-5139 |
| Manoucher Afshari | General Surgery | 1098 W Baltimore Pike, Suite 3411, Media, PA 19063-5139 | |
| Hassan C Vakil | General Surgery | 1098 W Baltimore Pike, Suite 3411, Media, PA 19063-5139 | |
| Chike N Okechukwu | Nephrology | Clinical Renal Associates Ltd | 1098 W Baltimore Pike, Suite 3306, Media, PA 19063-5139 |
| Semhar Mahmud | Obstetrics/gynecology | Regional Womens Health Group LLC | 1098 W Baltimore Pike, Rwhg Obgyn Healthcare Assoc At Ridd, Media, PA 19063-5139 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Bankes | Nurse Practitioner | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Jay Joseph Constantine | Endocrinology | 100 W 6th St, Suite 5, Media, PA 19063 | |
| Leon G De Masi | Preventative Medicine | Rose Tree Medical Associates LLC | 1098 Baltimore Pike, Media, PA 19063 |
| Roger C Sealy | Psychologist, Clinical | 890 Paxon Hollow Rd, Media, PA 19063-1003 | |
| Sonya Ombima | Nurse Practitioner | Inpatient Consultants of Pennsylvania PC | 100 Halcyon Dr, Media, PA 19063-1041 |
| Valentine B Czubaroff | Psychiatry | 4 Saddlebrook Cir, Media, PA 19063-1053 | |
| Mitchell Jay Cohen | Clinical Psychologist | 11 Martins Run, Media, PA 19063-1057 | |
| Robert W Guerra | Optometry | 1315 N Providence Rd, Media, PA 19063-1205 | |
| Patrick Joseph Mchugh | Psychologist, Clinical | 1223 N Providence Rd, Rose Tree Office Campus Suite 3, Media, PA 19063-1235 | |
| Jerry M Lazaroff | Psychologist, Clinical | 1029 N Providence Rd, Media, PA 19063-1404 | |
| Find all physicians in zip 19063 | |||
| City | MEDIA |
| Zip Code | 19063 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MEDIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Trina Louise Bradburd.
| 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.