DR. KEVIN GRANT BRADLEY (NPI# 1093880486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093880486 |
| Entity Type | Individual |
| Full Name | DR. KEVIN GRANT BRADLEY |
| Credential | M.D. |
| Practice Address |
5149 N 9th Ave Suite 120 Pensacola FL 32504-8756 |
| Mailing Address |
Po Box 11982 Pensacola FL 32524-1982 |
| Practice Telephone | 8504791805 |
| Practice Fax Number | 8504791829 |
| Mailing Telephone | 8504791805 |
| Mailing Fax Number | 8504791829 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME84523 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 00027045 | AL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME84523 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
00027045 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265190400 | 05 | |
| FL | FLORIDA BLUE | 28018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455522 | Kevin Bradley | Military Health Care Provider | 903 13th St, Virginia Beach, VA 23451-4476 | 2020-07-23 |
| 1184192981 | Kevin Bradley | Social Worker | 12408 Alexander Cornell Dr, Fairfax, VA 22033-2414 | 2018-11-09 |
| 1578867552 | Kevin Lyle Bradley | Massage Therapist | 2429 Manatee Ave E Unit 3, Bradenton, FL 34208-2407 | 2011-01-05 |
| 1821317454 | Kevin Jamal Bradley | Counselor | 509 S Flower St Apt 2, Inglewood, CA 90301-2881 | 2010-05-21 |
| 1609971241 | Kevin G. Bradley | Chiropractor | 640 Alexander Dr Ste 107, Eufaula, OK 74432-4013 | 2006-09-14 |
| 1447770870 | Kevin Alan Bradley | Licensed Practical Nurse | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-27 |
| 1922551266 | Kevin Bradley | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06349 | 2016-08-03 |
| 1447634142 | Kevin Bradley | Adult Companion | 847 Ne 19th Ave, Portland, OR 97232-2684 | 2015-07-13 |
| 1477996262 | Kevin K. Bradley | Anesthesiology | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2013-04-10 |
| 1588683809 | Kevin Bradley | Social Worker | 977 Lakeview Pkwy, Suite 180, Vernon Hills, IL 60061-1400 | 2006-07-18 |
| Street Address |
5149 N 9TH AVE SUITE 120 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407607 | Keane V Arney | Internal Medicine | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2005-12-07 |
| 1831563568 | Up-standing Radiology Services LLC | Radiology | 5149 N 9th Ave, Suite 120, Pensacola, FL 32504-8756 | 2015-11-18 |
| 1487994497 | Thomas Joseph Lawrence | Pathology | 5149 N 9th Ave, Suite 122, Pensacola, FL 32504-8756 | 2013-02-28 |
| 1184968281 | Joey Lamar Hart | Pharmacist | 5149 N 9th Ave, Suite 1137, Pensacola, FL 32504-8756 | 2012-11-15 |
| 1841548955 | Don S Angelo Do Pa | General Practice | 5149 N 9th Ave, Suite G39, Pensacola, FL 32504-8756 | 2012-08-21 |
| 1336402791 | Charis Ophelia Rich | Pharmacy Technician | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2012-06-20 |
| 1851654214 | Vickie Marie Campbell | Pharmacist | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2012-06-20 |
| 1699081117 | Nir Joseph Hus | Surgery | 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756 | 2010-08-21 |
| 1225287923 | Richard D Sontchi | Surgery | 5149 N 9th Ave, Suite 246, Pensacola, FL 32504-8756 | 2008-09-17 |
| 1578720025 | Rosanny Espinal-witter | Pathology | 5149 N 9th Ave, Pensacola, FL 32504-8779 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382437 | Bay Area Radiology, PC | Radiology | 4771 Bayou Blvd, Pensacola, FL 32503-1930 | 2016-04-25 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1710272661 | Daniel Garvin | Radiology | 6000 W 98 Hwy, Pensacola, FL 32512-2111 | 2011-06-17 |
| 1326061169 | Thomas M Pulling | Radiology | 1717 N E St Ste 300, Pensacola, FL 32501-6336 | 2006-07-25 |
| 1972548139 | Frederick Carl Wendt | Radiology | 8333 North Davis Hwy, Medical Center Clinic/radiology Dep, Pensacola, FL 32514 | 2006-06-19 |
| 1134192289 | Joseph Jay Crittenden | Radiology | 8909 Burning Tree Rd, Pensacola, FL 32514-5610 | 2006-02-09 |
| 1265404040 | William Raymond Bender | Radiology | 33 Lakeside Dr, Pensacola, FL 32507-3407 | 2006-02-06 |
| 1407835168 | Shannon Randall Hobgood | Radiology | 3050 Magnolia Ave, Pensacola, FL 32503-4179 | 2006-01-11 |
| 1891777520 | G. Terral King | Radiology | 4996 N Davis Hwy, Pensacola, FL 32503-2344 | 2005-11-17 |
| 1073518882 | Donald W Farmer | Radiology | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2005-06-17 |
| Find all providers in PENSACOLA | ||||
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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.