MR. CHARLES PAUL BRADLEY (NPI# 1104303882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104303882 |
| Entity Type | Individual |
| Full Name | MR. CHARLES PAUL BRADLEY |
| Practice Address |
776 North Court Street Circleville OH 43113 |
| Practice Telephone | 7404778689 |
| Practice Fax Number | 7404778693 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 13206103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356696157 | Charles A. Bradley | Obstetrics & Gynecology | 5521 Berkeley Rd, Santa Barbara, CA 93111-1615 | 2012-07-17 |
| 1851557409 | Charles Glenn Bradley | Social Worker | 213 Lovern St, Suite 6, Hazard, KY 41701-1761 | 2008-08-04 |
| 1568674125 | Charles E. Bradley IIi | Counselor | 135 Croydon Ave, Suite A, Baton Rouge, LA 70806-4502 | 2007-05-04 |
| 1225193295 | Charles Bradley | Dentist | 489 W Harwood Rd, Hurst, TX 76054-2943 | 2006-12-27 |
| 1265804231 | Charles Bradley | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-29 |
| 1891838827 | Charles N Bradley | Nurse Anesthetist, Certified Registered | 50 Medical Park East Drive, Birmingham, AL 35235 | 2007-02-15 |
| 1659384105 | Charles Wesley Bradley | Dentist | 8315 Walnut Hill Ln, Suite 200, Dallas, TX 75231-4218 | 2006-08-15 |
| Street Address |
776 NORTH COURT STREET |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1487178687 | Amy Michelle Provenzano | Nurse Practitioner | 600 N. Pickaway St, Suite 300 3rd Floor Mo Bldg, Circleville, OH 43113 | 2017-07-28 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| 1538484415 | Raul A Zamora | Surgery | 600 N. Pickaway St, Suite 203, Berger Health System, Circleville, OH 43113 | 2010-04-02 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679905772 | Courtney Nichole Daniels | Adult Companion | 531 N Court St, Circleville, OH 43113-1201 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326868 | Terri Lynn Butler | Adult Companion | 52 Ansel Ave, Akron, OH 44312-1516 | 2020-11-08 |
| 1689275661 | Danny Jerome Dragg | Adult Companion | 504 S Hawkins Ave Apt 1, Akron, OH 44320-1260 | 2020-11-05 |
| 1710588132 | Pamela Sue Davis | Adult Companion | 128 Matthew Dr, Rittman, OH 44270-2002 | 2020-11-03 |
| 1851991863 | Isaac Campbell | Adult Companion | 4175 Intrepid Dr, Cincinnati, OH 45252-1940 | 2020-10-28 |
| 1578161899 | Anne Fuller | Adult Companion | 6 E Carriage Dr, Chagrin Falls, OH 44022-2875 | 2020-10-09 |
| 1598362501 | Lindsey Kay Grabfelder | Adult Companion | 138 Sussex Rd, Hudson, OH 44236-1653 | 2020-10-02 |
| 1225645666 | Anita Cromes | Adult Companion | 1149 Fairmont Dr, Sidney, OH 45365-3419 | 2020-09-29 |
| 1679180038 | Shauna S Holbert | Adult Companion | 3575 Farmstead Dr, Pickerington, OH 43147-8683 | 2020-09-29 |
| 1114534955 | Pamela Dupont | Adult Companion | 8595 Melody Ln, Macedonia, OH 44056-1732 | 2020-09-25 |
| 1750998589 | Molly E Guernsey | Adult Companion | 13 Sandpiper Ct, Amelia, OH 45102-1895 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | CIRCLEVILLE |
| Zip Code | 43113 |
Please comment or provide details below to improve the information on MR. CHARLES PAUL BRADLEY.
| 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.