PAUL BRADLEY (NPI# 1154577088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154577088 |
| Entity Type | Individual |
| Full Name | PAUL BRADLEY |
| Credential | D.O. |
| Practice Address |
1521 22nd Ave A Meridian MS 39301-4016 |
| Mailing Address |
Po Box 2839 Meridian MS 39302-2839 |
| Practice Telephone | 6017033830 |
| Practice Fax Number | 6015532069 |
| Mailing Telephone | 6017033480 |
| Mailing Fax Number | 6017030124 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
22080 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03735301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700971488 | Paul B Bradley | Chiropractor | 2405 W 17th St, Greeley, CO 80634-6007 | 2006-10-04 |
| 1003393802 | Paul Jason Bradley | Nurse Anesthetist, Certified Registered | 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104-5036 | 2018-07-24 |
| 1134673494 | Paul Anthony Bradley | Clinical Nurse Specialist | 3901a Spicewood Springs Rd Ste 201, Austin, TX 78759-8728 | 2016-08-04 |
| 1013311679 | Paul Bradley | Physician Assistant | 11306 Bridgeport Way Sw, Ste D, Lakewood, WA 98499-3037 | 2014-10-10 |
| 1164822995 | Paul Tucker Bradley | Pharmacist | 1550 N Main St, North Logan, UT 84341-1918 | 2014-08-28 |
| 1932369832 | Paul R Bradley | Urology | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2008-06-13 |
| 1104985191 | Paul Frank Bradley I | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-12-06 |
| 1952349813 | Paul S Bradley | Internal Medicine | 340 Eisenhower Drive, Suite 1200, Savannah, GA 31406 | 2006-06-03 |
| 1386610061 | Paul J Bradley | Internal Medicine | 100 Worcester St, Suite 60, North Grafton, MA 01536-1024 | 2006-02-23 |
| Street Address |
1521 22ND AVE A |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083647770 | Joseph Thomas Balzli | Otolaryngology | 1521 22nd Ave, Meridian, MS 39301-4016 | 2006-07-08 |
| 1457442758 | Meridian Ear Nose & Throat Clinicpa | Otolaryngology | 1521 22nd Ave, Meridian, MS 39301-4016 | 2006-09-28 |
| 1922031616 | Robert Joseph Cater | Otolaryngology | 1521 22nd Ave, Meridian, MS 39301-4016 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043249964 | Martha A Cline | Psychiatry & Neurology | 3875 E Overland Road, Meridian, ID 83642 | 2006-07-02 |
| 1033504147 | Aaron Dunham | Psychiatry & Neurology | 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 | 2015-04-06 |
| 1811300395 | Medical Foundation, Inc. | Psychiatry & Neurology | 1800 12th St, Meridian, MS 39301-4158 | 2014-06-03 |
| 1407033228 | Anna I Irwin | Psychiatry & Neurology | 520 S Eagle Rd, St. Luke's Clinic-neurology, Meridian, ID 83642 | 2008-01-23 |
| 1922201615 | Heidi T Orme | Psychiatry & Neurology | 3875 E Overland Rd, Meridian, ID 83642-9005 | 2007-06-08 |
| 1871523373 | Stephen W Asher | Psychiatry & Neurology | 3875 E Overland Road, Meridian, ID 83642 | 2006-07-03 |
| 1801825724 | Allen C Han | Psychiatry & Neurology | 3875 E Overland Road, Meridian, ID 83642 | 2006-07-02 |
| 1235166885 | James Michael Herrold | Psychiatry & Neurology | 3875 E Overland Rd, Suite 201, Meridian, ID 83642-9005 | 2006-06-27 |
| 1104884139 | Rush Neurology Associates, Pllc | Psychiatry & Neurology | 1800 12th St, Suite 2a, Meridian, MS 39301-4158 | 2006-05-01 |
| 1871553511 | Stephen P Ireland | Psychiatry & Neurology | 520 S Eagle Rd, Suite 2207, Meridian, ID 83642-6351 | 2006-03-25 |
| Find all providers in MERIDIAN | ||||
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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.