DR. MICHAEL DURANTE BRADLEY (NPI# 1174729529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174729529 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DURANTE BRADLEY |
| Credential | PHARM.D., CDE |
| Practice Address |
80 Jesse Hill Jr Dr Se Pharmacy Administration Atlanta GA 30303-3031 |
| Practice Telephone | 4046167564 |
| Mailing Telephone | 4046167564 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
14677 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179396 | Michael Bradley | Driver | 1202 Taylor St, Fredericksburg, VA 22401-2664 | 2017-08-11 |
| 1346438231 | Michael E Bradley | Occupational Therapist | 4179 Woodley Creek Rd, Jacksonville, FL 32218-9185 | 2007-10-04 |
| 1225131444 | Michael James Bradley | Ophthalmology | 11820 S State St, Draper, UT 84020-7133 | 2006-09-06 |
| 1982250411 | Michael Bradley | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-12 |
| 1841758604 | Michael Bradley | Counselor | 815 Grandview Rd, Oil City, PA 16301-2077 | 2019-03-11 |
| 1386091346 | Michael Bradley | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-05-19 |
| 1770954166 | Michael Bradley | Behavioral Analyst | 1469 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-10-12 |
| 1265860878 | Michael Shane Bradley | Physician Assistant | 404 Shoppers Dr, Winchester, KY 40391-1378 | 2013-10-16 |
| 1922270644 | Michael Joseph Bradley | Internal Medicine | 7101 Jahnke Rd, Hca, Richmond, VA 23225 | 2008-04-02 |
| 1972771293 | Michael Douglas Bradley | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2008-02-20 |
| Street Address |
80 JESSE HILL JR DR SE PHARMACY ADMINISTRATION |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301830 | Adefisayo Oduwole | Internal Medicine | 80 Jesse Hill Jr Dr Se, Ste 2e, Atlanta, GA 30303-3031 | 2005-07-21 |
| 1598365421 | Warren W Jarrett | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-10-29 |
| 1245830579 | Abigail Walker Murray | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-10-27 |
| 1649887118 | Christie Sams | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-28 |
| 1013523828 | Alicia Wong | Counselor | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-17 |
| 1538775473 | Nebiyu D Muleta | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-09-16 |
| 1952915431 | Rikita D Patel | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-09-02 |
| 1639782832 | Chaltu Raba | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-26 |
| 1790397172 | Ashley A Bostic | Nurse Practitioner | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2020-08-18 |
| 1174134050 | Kayla Renee Brown | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710302153 | Elizabeth Estelle Corwell Miller | Pharmacist | 1900 Jacolyn Pl Ne, Atlanta, GA 30329-3316 | 2014-02-21 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1326362518 | Kofi Julian Roberts | Pharmacist | 2146 E Lake Rd Ne, Atlanta, GA 30307-1836 | 2010-03-17 |
| 1396909909 | Andrew A Gentles | Pharmacist | 2040 Bayrose Cir, Atlanta, GA 30344-1679 | 2008-07-12 |
| 1043479314 | Kenwin C.h. Morris | Pharmacist | 400 Rexham Way Sw, Atlanta, GA 30331-7994 | 2008-06-03 |
| 1003036328 | Walter L Holt Jr | Pharmacist | 1600 Clifton Rd Centers for Diseae Control and Prevent, Ms-73 Rm 5004, Atlanta, GA 30333 | 2007-04-27 |
| 1144340605 | Aquita Robinson Harvey | Pharmacist | 2619 Wells Ter Sw, Atlanta, GA 30331-7891 | 2007-03-29 |
| 1972622942 | Estrella Teresa Harden | Pharmacist | 5520 Jamerson Dr, Atlanta, GA 30349-1705 | 2007-03-28 |
| 1598853624 | Maxine Carissa Hillery | Pharmacist | 5670 Peachtree Dunwoody Rd Ne Ste 810, Atlanta, GA 30342-4717 | 2006-10-11 |
| 1558343517 | Pharmacare Solutions, Inc. | Pharmacist | 5555 Glenridge Connector Ne, Suite 200, Atlanta, GA 30342-4759 | 2005-11-16 |
| Find all providers in ATLANTA | ||||
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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.