BRADLEY BAILEY (NPI# 1164996245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164996245 |
| Entity Type | Individual |
| Full Name | BRADLEY BAILEY |
| Credential | PA-C |
| Practice Address |
19851 Observation Dr Ste 250 Germantown MD 20876-4151 |
| Mailing Address |
13109 Wonderland Way Apt 4 Germantown MD 20874-2399 |
| Practice Telephone | 3019720400 |
| Mailing Telephone | 4104748877 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0007464 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Owings Hill Ct, Owings, MD 207369406 | 4104748877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003233842 | Bradley James Bailey | Chiropractor | 605 Market St Ste 1250, San Francisco, CA 94105 | 2014-03-18 |
| 1780690677 | Bradley B. Bailey | Emergency Medicine | 9600 Cuyamaca St, Suite 201, Santee, CA 92071-2692 | 2006-07-31 |
| 1902434707 | Bradley Scott Bailey | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-03-29 |
| 1205212560 | Bradley Bailey | Nurse Anesthetist, Certified Registered | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2015-08-09 |
| 1225379209 | Bradley Dayton Bailey Jr. | Specialist/Technologist, Other | 524 Exchange Ave, Suite C, Schertz, TX 78154-2116 | 2013-03-15 |
| 1255446548 | Bradley C. Bailey | Physician Assistant | 122 12th St, Princeton, WV 24740-2312 | 2006-08-20 |
| Street Address |
19851 OBSERVATION DR STE 250 |
| City | GERMANTOWN |
| State | MD |
| Zip Code | 20876-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1003379819 | Pamela Denise Murphy | Counselor | 11480 Scenery Place, Germantown, MD 20876 | 2019-04-09 |
| 1629595061 | Teresa Francisco | Home Health Aide | 1 Yellow Leaf Ct, Germatown, MD 20876 | 2017-08-25 |
| 1679943559 | Aurora Equipment Supply | Durable Medical Equipment & Medical Supplies | 11712 Doxdam Terrace, Germantown, MD 20876 | 2015-10-05 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1902296668 | Ci-wun Huang | Pharmacy Technician | 20908 Frederick Road, Germantown, MD 20876 | 2015-02-02 |
| 1184025322 | Robert Shirley | Physical Therapist | 20500 Seneca Meadows Parkway, Germantown, MD 20876 | 2014-09-08 |
| 1285067108 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 19851 Observation Dr, Suite 450, Germantown, MD 20876 | 2013-08-14 |
| 1639430200 | Sandrine Claire Mbouyo | Home Health Aide | 11102 Cedaiblugg Ln, Germantown, MD 20876 | 2012-05-31 |
| Find all providers in zip 20876 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447714704 | Erin Benefiel | Physician Assistant | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 | 2019-01-30 |
| 1922579150 | Utkala Segu | Physician Assistant | 18629 Autumn Mist Dr, Germantown, MD 20874-2180 | 2018-12-16 |
| 1508382615 | Hilary Andrews | Physician Assistant | 7148 Donnington Dr, Germantown, TN 38138-4614 | 2017-08-21 |
| 1093168189 | Melissa Marie Whitehouse | Physician Assistant | W199n11298 Rosewood Ct, Germantown, WI 53022-2935 | 2016-07-13 |
| 1215205828 | Ashley Lawrence | Physician Assistant | 7705 Poplar Ave Ste 310b, Germantown, TN 38138-3930 | 2011-12-09 |
| 1699907758 | Xavier Dominique Lennon | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2009-08-21 |
| 1093925950 | Brooke Amanda Helms | Physician Assistant | 9067 Poplar Ave, Suite 109, Germantown, TN 38138-7851 | 2007-05-22 |
| 1194844183 | Katherine Mary Gresham | Physician Assistant | 7485 Poplar Pike, Germantown, TN 38138-5934 | 2007-03-29 |
| 1477551208 | Tammy L Welch | Physician Assistant | 20410 Observation Dr Ste 100, Germantown, MD 20876-6419 | 2005-07-14 |
| 1477167468 | Kristen Thelen | Physician Assistant | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2020-09-07 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 20876 |
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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.