BRADLEY JACKSON HOLDEN (NPI# 1144230707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144230707 |
| Entity Type | Individual |
| Full Name | BRADLEY JACKSON HOLDEN |
| Credential | MD |
| Practice Address |
1411 E 31st Street Oak Care Med Grp Oakland CA 94602 |
| Mailing Address |
1411 East 31st Street Oakcare Medical Group Oakland CA 94602 |
| Practice Telephone | 5104374323 |
| Practice Fax Number | 5104375042 |
| Mailing Telephone | 5104374323 |
| Mailing Fax Number | 5104375042 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G62352 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G623520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851323216 | Bradley Guy Holden | Chiropractor | 6012 W William Cannon Dr Ste A102, Austin, TX 78749-1976 | 2006-07-07 |
| Street Address |
1411 E 31ST STREET OAK CARE MED GRP |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396764353 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2006-07-19 |
| 1992267413 | Ludan Zhao | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2019-04-03 |
| 1528520210 | Gabrielle Goodlin | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor, A2, Oakland, CA 94602 | 2019-04-02 |
| 1073019899 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2018-04-02 |
| 1225458573 | Michael Wu | Anesthesiology | 1411 E 31st Street, Attn Anesthesia Department, Oakland, CA 94602 | 2014-04-24 |
| 1740465517 | Eunice Flores-uselman | Poetry Therapist | 1411 E 31st Street, Oakland, CA 94602 | 2007-12-29 |
| 1043492275 | Sonji Francine Walker | Social Worker | 1411 E 31st Street, Oakland, CA 94602 | 2007-11-29 |
| 1467632265 | Sharon Ann Abram | Social Worker | 1411 E 31st Street, Oakland, CA 94602 | 2007-11-08 |
| 1700087590 | Alameda Health System | General Acute Care Hospital | 1411 E 31st Street, Oakland, CA 94602 | 2007-05-30 |
| 1740332931 | Alameda Health System | Surgery | 1411 E 31st Street, Oakland, CA 94602 | 2007-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437504503 | Jaskiran Ranu | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2016-04-26 |
| 1659791499 | Sarah Styles | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2014-04-20 |
| 1013278787 | Spencer L Magargal | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2012-05-30 |
| 1730473885 | Kimberly Larson | Pediatrics | 747 52nd St, Oakland, CA 94609 | 2011-06-07 |
| 1255537163 | Joanna Halkias | Pediatrics | 747 52nd St, Neonatology 3rd Floor, Oakland, CA 94609-1809 | 2007-06-26 |
| 1154530566 | Kristin Elizabeth Hubert | Pediatrics | 747 52nd St, Neonatology, Oakland, CA 94609-1809 | 2007-05-22 |
| 1043375561 | East Bay Newborn Specialists, Inc. | Pediatrics | 747 52nd St, Neonatology Office, Oakland, CA 94609-1809 | 2006-12-26 |
| 1982633004 | Namrata D. Jhaveri | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-07-01 |
| 1720017254 | Jeffrey D Merrill | Pediatrics | 747 52nd St, Neonatology - 3rd Floor, Oakland, CA 94609-1809 | 2006-06-30 |
| 1114968971 | Golde G Dudell | Pediatrics | 747 52nd St, 3rd Floor, Oakland, CA 94609-1809 | 2006-06-10 |
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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.