DR. JOHN C BRADLEY (NPI# 1174572721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174572721 |
| Entity Type | Individual |
| Full Name | DR. JOHN C BRADLEY |
| Credential | M.D. |
| Practice Address |
940 Belmont St Brockton MA 02301-5596 |
| Mailing Address |
269 High St Hingham MA 02043-3357 |
| Practice Telephone | 6179812109 |
| Practice Fax Number | 7748262476 |
| Mailing Telephone | 7819740810 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G71728 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
| 1467743740 | John R Bradley | Pharmacist | 2669 Canal St, New Orleans, LA 70119-6409 | 2011-04-21 |
| 1013244508 | John Clarence Bradley | Counselor | 8801 Nw 121st St, Oklahoma City, OK 73162-1143 | 2009-11-04 |
| 1700042470 | John Vinson Bradley | Social Worker | 408 Amquiwood Ct, Madison, TN 37115-2657 | 2008-08-01 |
| 1336329424 | John Bradley | Pharmacist | 1287 Hencoop Rd, Skaneateles, NY 13152-9630 | 2007-11-06 |
| 1295811297 | John Bradley | Physical Therapist | 720 Yorklyn Road, Suite 150, Hockessin, DE 19707 | 2006-10-31 |
| 1003820028 | John Mackemer Bradley | Psychologist | 1777 S Harrison St Ste 805, Denver, CO 80210-3933 | 2006-07-27 |
| 1194335588 | John Bradley | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2020-07-31 |
| 1720600638 | John Francis Bradley | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-05-13 |
| 1033770748 | John Jackson Bradley | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry Residency, 980710, 1250 E. Marshall Street, Richmond, VA 23298-0710 | 2019-06-24 |
| Street Address |
940 BELMONT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992779011 | Paul Moitoso | Social Worker | 940 Belmont St, 122 - Bldg 3, A-504a, Brockton, MA 02301-5596 | 2006-02-15 |
| 1255938262 | Matthew Janson | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-02 |
| 1861099020 | Erin A Lawrence | Recreation Therapist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-10-01 |
| 1720698442 | Ifeoma Laurietta Ugbo | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-08-06 |
| 1255959961 | Abigail Lauraine Munroe | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5568 | 2020-07-09 |
| 1225653173 | Bryanna Morgan Caron | Optometrist | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-16 |
| 1134744675 | Marie Eva Dely | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-10 |
| 1255955142 | Daniel Salazar | Registered Nurse | 940 Belmont St, Brockton, MA 02301-5596 | 2020-06-05 |
| 1982227146 | Amelia Colby Rohan | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-22 |
| 1952923526 | Amy Felicia Jones | Student in an Organized Health Care Education/Training Program | 940 Belmont St, Brockton, MA 02301-5596 | 2020-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730444274 | Edwin R Raffi | Psychiatry & Neurology | 940 Belmont St # 116a7, Brockton, MA 02301-5596 | 2012-07-11 |
| 1780816843 | Fawad Taj | Psychiatry & Neurology | 940 Belmont St, Building 5, Rm116a7, Va Boston Healthcare, Brockton, MA 02301 | 2009-08-21 |
| 1922198431 | Ronald J. Gurrera | Psychiatry & Neurology | 940 Belmont St # 116a, Brockton, MA 02301-5596 | 2006-10-13 |
| 1740386689 | Miriam Tankiang Villanueva | Psychiatry & Neurology | 30 Meadowbrook Rd, Brockton, MA 02301-7122 | 2006-09-16 |
| 1124134069 | Dimitris Gerothanassis | Psychiatry & Neurology | 529 Pearl St, Brockton, MA 02301-2825 | 2006-08-22 |
| 1376555276 | Joseph Aaron Shrand | Psychiatry & Neurology | 20 Meadowbrook Rd, Castle, Brockton, MA 02301-7122 | 2006-08-12 |
| 1326086638 | Alejandro Y Mendoza | Psychiatry & Neurology | 235 North Pearl Street, Caritas Good Samaritan Med Ctr, Brockton, MA 02301 | 2006-06-02 |
| 1700873999 | Lyudmila Rakita | Psychiatry & Neurology | 1342 Belmont St, Suite 103, Brockton, MA 02301-4436 | 2005-10-03 |
| 1780181636 | Frank Copeli | Psychiatry & Neurology | 940 Belmont St Bldg 5, Brockton, MA 02301-5596 | 2018-04-08 |
| 1922516053 | Steward Good Samaritan Medical Center, Inc. | Psychiatry & Neurology | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-01-10 |
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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.