BRADLEY R BRAXTON (NPI# 1134735715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134735715 |
| Entity Type | Individual |
| Full Name | BRADLEY R BRAXTON |
| Practice Address |
1900 Seneca Rd Wilmington DE 19805-4129 |
| Mailing Address |
1900 Seneca Rd # 103 Wilmington DE 19805-4129 |
| Practice Telephone | 2028306606 |
| Mailing Telephone | 2028306606 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| 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 |
| Street Address |
1900 SENECA RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| 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 |
|---|---|---|---|---|
| 1316459837 | Ingleside Homes, Inc. | Adult Companion | 1005 North Franklin Street, Wilmington, DE 19806-4550 | 2017-10-25 |
| 1790181345 | Chris Gulley | Adult Companion | 1900 Eastwood Rd, Suite 15, Wilmington, NC 28403-7204 | 2014-11-10 |
| 1700345113 | Panadiane Samedy | Adult Companion | 1224 N King St, Wilmington, DE 19801-3232 | 2019-03-15 |
| 1447642277 | Ron Miller | Adult Companion | 5201 W Woodmill Dr, Suite 31, Wilmington, DE 19808-4068 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881169647 | Jere E Davis | Adult Companion | 242 N Antlers Pl, Bear, DE 19701-2780 | 2018-10-09 |
| 1215419429 | Regina Tomlin | Adult Companion | 48 Grand National Ln, Newark, DE 19702-6601 | 2018-09-04 |
| 1164969085 | Jonathan Wenk | Adult Companion | 6 North Market St, Frederica, DE 19946 | 2017-01-30 |
| 1790168169 | Joyce Wright | Adult Companion | 309 Starboard Dr, Bear, DE 19701-2297 | 2015-07-03 |
| 1730338427 | Circle of Friends 1 LLC | Adult Companion | 155 S Bradford St, Suite 206, Dover, DE 19904-7367 | 2008-09-17 |
| City | WILMINGTON |
| Zip Code | 19805 |
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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.