BRADLEY WILLIAM NICHOLSON (NPI# 1144227836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144227836 |
| Entity Type | Individual |
| Full Name | BRADLEY WILLIAM NICHOLSON |
| Credential | M.D. |
| Practice Address |
18877 Jeb Stuart Hwy Stuart VA 24171 |
| Mailing Address |
Po Box 1019 Stuart VA 24171-1019 |
| Practice Telephone | 2766944466 |
| Practice Fax Number | 2766942909 |
| Mailing Telephone | 2766944466 |
| Mailing Fax Number | 2766942909 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101030962 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891750014 | Bradley L. Nicholson | Emergency Medicine | 747 Broadway, Seattle, WA 98122-4379 | 2006-04-19 |
| Street Address |
18877 JEB STUART HWY |
| City | STUART |
| State | VA |
| Zip Code | 24171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500668 | Richard Claude Cole | Family Medicine | 18877 Jeb Stuart Hwy, Stuart, VA 24171-1019 | 2005-07-07 |
| 1003433590 | Meagan Nichole Radford | Nurse Practitioner | 18877 Jeb Stuart Hwy, Stuart, VA 24171-5223 | 2020-06-30 |
| 1073093027 | Kaitlyn Grace Cobler | Nurse Practitioner | 18877 Jeb Stuart Hwy, Stuart, VA 24171-5223 | 2018-08-20 |
| 1881063600 | Brittney Shively Dillon | Nurse Practitioner | 18877 Jeb Stuart Hwy, Stuart, VA 24171-5223 | 2015-09-22 |
| 1801285937 | Matthew Barnes | Physician Assistant | 18877 Jeb Stuart Hwy, Stuart, VA 24171-5223 | 2015-01-13 |
| 1164739751 | Pamela W Wright | Nurse Practitioner | 18877 Jeb Stuart Hwy, Stuart, VA 24171-5223 | 2010-09-03 |
| 1386873198 | Dana Stewart Mabe | Nurse Practitioner | 18877 Jeb Stuart Hwy, Stuart, VA 24171-5223 | 2009-07-14 |
| 1073599536 | Katherine Rose | Chiropractor | 18877 Jeb Stuart Hwy, Stuart, VA 24171 | 2005-12-16 |
| 1235136920 | Ralph Lewis Kramer | Family Medicine | 18877 Jeb Stuart Hwy, Stuart, VA 24171 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205264918 | Thomas Frank Haas Md | Surgery | 166 Se Saint Lucie Blvd, Apt 203, Stuart, FL 34996-4769 | 2013-10-16 |
| 1073881462 | South Florida Breast Specialists Pllc | Surgery | 401 Se Osceola St, Suite 200a, Stuart, FL 34994-2503 | 2011-12-13 |
| 1194711713 | Richard Oswald Follwell | Surgery | 2221 Se Ocean Blvd, Suite 200, Stuart, FL 34996-3341 | 2005-09-20 |
| 1184625162 | James J Vopal | Surgery | 801 Se Osceola St, Stuart, FL 34994-2431 | 2005-08-02 |
| 1437157864 | George Harold Rittersbach Jr. | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2005-07-11 |
| 1073511408 | Wallace Edward Wengler | Surgery | 509 Se Riverside Dr Ste 200, Stuart, FL 34994-2579 | 2005-07-11 |
| 1265430680 | Sunil Gandhi | Surgery | 2111 Se Ocean Blvd, Stuart, FL 34996-3305 | 2005-07-09 |
| 1356349773 | Mark Stephen Beatty | Surgery | 314 Se Hospital Ave, Stuart, FL 34994-2338 | 2005-07-09 |
| 1093269557 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-08-12 |
| 1780053058 | 21st Century Oncology LLC | Surgery | 2111 Se Ocean Blvd, Stuart, FL 34996-3305 | 2015-09-17 |
| Find all providers in STUART | ||||
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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.