DR. JOHN ADDITON BRADFORD (NPI# 1093791964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093791964 |
| Entity Type | Individual |
| Full Name | DR. JOHN ADDITON BRADFORD |
| Credential | M.D. |
| Practice Address |
925 Union St Ste 3 Bangor ME 04401-3051 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079739980 |
| Practice Fax Number | 2079737515 |
| Mailing Telephone | 2079735035 |
| Mailing Fax Number | 2079735042 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 011526 | ME | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | BLUES | 002921 | 01 |
| ME | HARVARD PILGRIM | D03693 | 01 |
| ME | 116170000 | 05 | |
| ME | MEDICARE RAILROAD | 200002275 | 01 |
| ME | AETNA | 1044474 | 01 |
| ME | CIGNA | M57740 | 01 |
| ME | US DEPT OF LABOR | 100289800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598114126 | John Bradford | Specialist | 9015 Town Center Pkwy, Suite 103, Lakewood Ranch, FL 34202-5012 | 2016-06-04 |
| 1811263841 | John Mark Bradford | Pharmacist | 7420 Guthrie Dr N Ste 110, Southaven, MS 38671-5877 | 2012-03-23 |
| 1508005372 | John Philip Bradford | Dentist | 3821 8th Avenue, San Diego, CA 92103 | 2009-02-18 |
| 1508971003 | John Howard Bradford | Physical Therapist | 11 Centre St, Suite 6&7, Salem, CT 06420-3844 | 2006-08-21 |
| 1720004740 | John Edward Bradford | Physician Assistant | 500 W Broadway St, Missoula, MT 59802-4008 | 2006-07-14 |
| 1750328498 | John David Bradford II | Dentist | 2010 W Chester Pike, Suite 128, Havertown, PA 19083-2700 | 2006-06-01 |
| 1386601540 | John C Bradford | Emergency Medicine | 400 Wabash Ave, Akron, OH 44307 | 2006-04-28 |
| 1083677561 | John Elvie Bradford | Psychologist | 8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671 | 2006-04-07 |
| Street Address |
925 UNION ST STE 3 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242505 | Lucas C Bartlett | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1255959680 | Amy Curry | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1710505144 | Jacob Lee Powell | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1366060634 | Sara Packard | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1831668342 | Tyler Lee Jamison | Pediatrics | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2018-11-14 |
| 1154863769 | David Newman | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2016-11-14 |
| 1912343823 | Tracy Bras | Physical Medicine & Rehabilitation | 925 Union St Ste 3, Bangor, ME 04401 | 2013-05-18 |
| 1639432412 | Kathryn Nicole Morin | Physician Assistant | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2012-06-18 |
| 1811180334 | Jessica G Aronowitz | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-08-20 |
| 1275757650 | Stephen R Thompson | Orthopaedic Surgery | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558746032 | Seth Trahan | Specialist | 12 Vine St, Bangor, ME 04401-6029 | 2015-07-24 |
| 1649544438 | John R. Mcgill, Md, Pa | Specialist | 436a State St, Bangor, ME 04401-6606 | 2012-02-27 |
| 1952536880 | Penobscot Valley Dermatology, P.a. | Specialist | 90 Ridgewood Drive, Bangor, ME 04401-2652 | 2009-05-21 |
| 1154590875 | Tricia Margaret Lacour | Specialist | 160 Lois Ln, Bangor, PA 18013-5306 | 2008-02-27 |
| 1134341985 | Robert A. Grover, Do, Pa | Specialist | 263 State Street, Suite 23, Bangor, ME 04401 | 2007-05-02 |
| 1598803553 | Thomas G Poulin | Specialist | 199 Cedar St, Bangor, ME 04401-4638 | 2007-02-02 |
| 1669525440 | Orthopaedic Associates of Bangor, Pa | Specialist | 417 State St Ste 209, Bangor, ME 04401-6630 | 2007-01-18 |
| 1205870789 | Tracey T Hughes | Specialist | 417 State St Ste 442, Bangor, ME 04401-6634 | 2006-06-15 |
| 1396701322 | Marek Skacel | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2006-04-26 |
| 1700258894 | Rima Kanhoush | Specialist | 417 State St Ste 439, Bangor, ME 04401-6635 | 2015-10-28 |
| Find all providers in BANGOR | ||||
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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.