BRADLEY THOMAS BEISE (NPI# 1013324300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013324300 |
| Entity Type | Individual |
| Full Name | BRADLEY THOMAS BEISE |
| Credential | ATC, LAT |
| Practice Address |
610 Carrington Park Dr Gainesville GA 30504-2697 |
| Practice Telephone | 7068976245 |
| Mailing Telephone | 7068976245 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002508 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
610 CARRINGTON PARK DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669841 | Kara Honea | Specialist/Technologist | 3834 Walnut Grove Way, Gainesville, GA 30506-7303 | 2019-10-03 |
| 1073163341 | Constance Andrews | Specialist/Technologist | 9435 Ne 77th Ct, Gainesville, FL 32609-1327 | 2019-09-18 |
| 1043860547 | Jonathan Edward Palomar | Specialist/Technologist | Lemerand Drive, Gainesville, FL 32611-0001 | 2019-09-17 |
| 1598310724 | Michael Garrett Mayhugh | Specialist/Technologist | 14535 John Marshall Hwy Ste 104, Gainesville, VA 20155-4024 | 2019-08-05 |
| 1598320160 | Erika Lopez | Specialist/Technologist | 5245 Hewell Rd, Gainesville, GA 30507-7734 | 2019-05-08 |
| 1740745272 | Kayla Dooley | Specialist/Technologist | 114 Washington St Se, Gainesville, GA 30501-3671 | 2019-02-08 |
| 1417421413 | Marissa Evonne Lucas | Specialist/Technologist | 4400 Sw 20th Ave Apt 5201, Gainesville, FL 32607-3902 | 2019-01-14 |
| 1770050536 | Collin Blake Frederick | Specialist/Technologist | 3005 Sardis Rd, Gainesville, GA 30506-2232 | 2018-10-30 |
| 1558844142 | Kennedy Crocker | Specialist/Technologist | 4570 Montclair Cir, Gainesville, GA 30506-5131 | 2018-09-11 |
| 1164909180 | Robert James Creech | Specialist/Technologist | 905 E Highway 82 Ste 130, Gainesville, TX 76240-2269 | 2018-07-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.