DR. JOHN S BRADLEY (NPI# 1033183066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033183066 |
| Entity Type | Individual |
| Full Name | DR. JOHN S BRADLEY |
| Credential | D.O. |
| Practice Address |
5900 Byron Center Sw Metro Health Hospital Wyoming MI 49519 |
| Mailing Address |
Po Box 2184 Certified Emergency Medicine Specialists Grand Rapids MI 49501-2184 |
| Practice Telephone | 6163637123 |
| Mailing Telephone | 6163637867 |
| Mailing Fax Number | 6163639432 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2009-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | JB075674 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE PHYSICIAN LICENSE | JB075674 | 01 |
| MI | 4413279 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
| 1467743740 | John R Bradley | Pharmacist | 2669 Canal St, New Orleans, LA 70119-6409 | 2011-04-21 |
| 1013244508 | John Clarence Bradley | Counselor | 8801 Nw 121st St, Oklahoma City, OK 73162-1143 | 2009-11-04 |
| 1700042470 | John Vinson Bradley | Social Worker | 408 Amquiwood Ct, Madison, TN 37115-2657 | 2008-08-01 |
| 1336329424 | John Bradley | Pharmacist | 1287 Hencoop Rd, Skaneateles, NY 13152-9630 | 2007-11-06 |
| 1295811297 | John Bradley | Physical Therapist | 720 Yorklyn Road, Suite 150, Hockessin, DE 19707 | 2006-10-31 |
| 1003820028 | John Mackemer Bradley | Psychologist | 1777 S Harrison St Ste 805, Denver, CO 80210-3933 | 2006-07-27 |
| 1194335588 | John Bradley | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2020-07-31 |
| 1720600638 | John Francis Bradley | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
| 1033770748 | John Jackson Bradley | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry Residency, 980710, 1250 E. Marshall Street, Richmond, VA 23298-0710 | 2019-06-24 |
| Street Address |
5900 BYRON CENTER SW METRO HEALTH HOSPITAL |
| City | WYOMING |
| State | MI |
| Zip Code | 49519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053502542 | Adam Passeno | Emergency Medicine | 5900 Byron Center Sw, Metro Health Hospital, Wyoming, MI 49519 | 2007-08-08 |
| 1457309767 | David Douglas Berg | Emergency Medicine | 5900 Byron Center Sw, Metro Health Hospital, Wyoming, MI 49519 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992254270 | Medexpress Urgent Care, PC - Michigan | Emergency Medicine | 740 28th St Sw, Wyoming, MI 49509-2965 | 2016-09-27 |
| 1235391467 | John Richard Epema | Emergency Medicine | 3662 Taft Ave Sw, Wyoming, MI 49519-3759 | 2008-06-29 |
| 1356315345 | Paul R Dwyer | Emergency Medicine | 5900 Byron Center Ave, Metro Health Hospital, Wyoming, MI 49519 | 2006-02-15 |
| 1962997601 | Garrett Richard Baker | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1699260331 | Brice Houston Brookshire | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1245725977 | Jerry Paul Henderson | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-06-26 |
| 1336634070 | Amber Majid Malik | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9686 | 2018-06-26 |
| 1093235848 | Joshua Vansluyters | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1710407572 | Anthony Joseph Camodeca | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2017-06-22 |
| 1811348691 | Brandon Kay | Emergency Medicine | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2016-06-23 |
| Find all providers in WYOMING | ||||
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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.