DR. ROBERT BRADLEY CANADA


Address: 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104
Phone: 9018668810

DR. ROBERT BRADLEY CANADA (NPI# 1033176250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033176250
Entity Type Individual
Full Name DR. ROBERT BRADLEY CANADA
Credential MD
Practice Address 1325 Eastmoreland Ave Ste 220
Memphis
TN 38104
Mailing Address 1407 Union Ave Ste 700
Memphis
TN 38104-3641
Practice Telephone 9018668810
Mailing Telephone 9018668622
Enumeration Date 2006-05-01
Last Update Date 2019-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
32002 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100458660 05
GA 003181471A 05
AR 140694001 05
MS 00122642 05
TN Q003696 05
MO 1033176250 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 9014482300 9014486657

Other Providers ROBERT CANADA

NPI Name Taxonomy Address Enumeration
1982913513 Robert Franklin Canada Pharmacist 6 E Commerce St, Hernando, MS 38632-2200 2010-09-30

Office Location

Street Address 1325 EASTMORELAND AVE STE 220
City MEMPHIS
State TN
Zip Code 38104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790191856 Alice Chedid Internal Medicine 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104 2014-07-09
1689807455 Hieu Vo Internal Medicine 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104-7547 2009-08-27
1659577278 Omer Siddiqui Internal Medicine 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104-7547 2007-06-21
1942268529 Arif Showkat Internal Medicine 1325 Eastmoreland Ave Ste 220, Memphis, TN 38104-7547 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669646634 Mark Shermer, M.d.,p.c. Internal Medicine 6005 Park Ave Ste 807, Memphis, TN 38119-5218 2008-04-21
1457536559 Manish Talwar Internal Medicine 1265 Union Ave Ste 184, Memphis, TN 38104-3415 2008-01-08
1821299512 Minesh Babul Pathak Internal Medicine 3950 New Covington Pike Ste 300, Memphis, TN 38128-2591 2007-05-30
1942418546 John T. Morris, IIi, Md, PC Internal Medicine 780 Truse Pkwy Ste 102, Memphis, TN 38117-5361 2007-05-18
1689603102 Sanjeev Kumar Mittal Internal Medicine 6027 Walnut Grove Rd Ste 402, Memphis, TN 38120-2129 2006-06-30
1497794580 William F Owen Internal Medicine 62 S Dunlap St, Memphis, TN 38103-4903 2006-06-05
1235185315 John Thomas Morris IIi Internal Medicine 7640 Wolf River Cir, 2nd Floor, Memphis, TN 38138-1744 2006-05-26
1285683664 Hugh Hermes Williams Internal Medicine 220 S Claybrook St, Suite 314, Memphis, TN 38104-3527 2006-05-10
1356399117 Zaher Al-shallah Internal Medicine 6027 Walnut Grove Rd Ste 405, Memphis, TN 38120 2006-05-04
1285603233 Jacinto A Hernandez Internal Medicine 6490 Mt Moriah Rd Ext, Memphis, TN 38115-3729 2006-03-14
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38104

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Dataset Information

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.

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