BRADLEY GIRDWOOD (NPI# 1043771900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043771900 |
| Entity Type | Individual |
| Full Name | BRADLEY GIRDWOOD |
| Practice Address |
1036 S Verity Pkwy Middletown OH 45044-5513 |
| Mailing Address |
100 Rough Way Unit 10 Lebanon OH 45036-7914 |
| Practice Telephone | 5134541111 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1036 S VERITY PKWY |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639146822 | Shelsea Lea Johnson | Pediatrics | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2006-03-07 |
| 1740833144 | Katelyn Kreke | Nurse Practitioner | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2019-07-24 |
| 1851956502 | Laura Brodt | Dietitian, Registered | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2019-05-08 |
| 1073082020 | Renee Just | Dietitian, Registered | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-11-20 |
| 1740758804 | Rachael Marie Smith | Nurse Practitioner | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-11-07 |
| 1750869145 | Community First Pharmacy | Pharmacy | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-07-30 |
| 1386133320 | Beth Marie Reddix | Nurse Practitioner | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2018-05-04 |
| 1194213314 | Surya Chakravarthy Pamulapati | Student in an Organized Health Care Education/Training Program | 1036 S Verity Pkwy, Middletown, OH 45044 | 2018-04-23 |
| 1962918797 | Megan L Reeves | Social Worker | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2017-12-15 |
| 1700308608 | Suvarnamala Pushkaran | Clinical Nurse Specialist | 1036 S Verity Pkwy, Middletown, OH 45044-5513 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916488 | Ashley Poprilo | Student in an Organized Health Care Education/Training Program | 19 Grand St, Middletown, CT 06457-2705 | 2020-09-11 |
| 1659993905 | Punik Shah | Student in an Organized Health Care Education/Training Program | 707 E Main St Ste 1243, Middletown, NY 10940-2667 | 2020-05-09 |
| 1861021537 | Danielle Marie Juelis | Student in an Organized Health Care Education/Training Program | 127 Irwin Pl, Middletown, NJ 07748-2308 | 2020-04-05 |
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1528535606 | Theresa Macy | Student in an Organized Health Care Education/Training Program | 1058 Washington St Fl 2, Middletown, CT 06457-2913 | 2018-10-26 |
| 1619442563 | Kelsey Byrd | Student in an Organized Health Care Education/Training Program | 6546 Niderdale Way, Middletown, OH 45042-9400 | 2018-10-08 |
| 1447789706 | Pabel Ali Miah | Student in an Organized Health Care Education/Training Program | 707 E. Main Street, Middletown, NY 10940 | 2017-06-08 |
| 1124491915 | Lorna Pierson | Student in an Organized Health Care Education/Training Program | 1448 Route 211 W, Middletown, NY 10940-7641 | 2015-11-03 |
| 1326421017 | Angel Brittney Armstrong | Student in an Organized Health Care Education/Training Program | 1406 Forest Ave Apt 3, Middletown, OH 45044-4323 | 2015-06-30 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on BRADLEY GIRDWOOD.
| 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.