BRADFORD INGRAM (NPI# 1205309028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205309028 |
| Entity Type | Individual |
| Full Name | BRADFORD INGRAM |
| Practice Address |
1800 Sager Rd Rockdale TX 76567-2060 |
| Practice Telephone | 5126891364 |
| Mailing Telephone | 5126891364 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 313179 | TX | Nursing Service Providers |
| Street Address |
1800 SAGER RD |
| City | ROCKDALE |
| State | TX |
| Zip Code | 76567-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912372459 | Rockdale Snf LLC | Skilled Nursing Facility | 1350 W Us Highway 79, Rockdale, TX 76567 | 2015-12-09 |
| 1295125391 | Melinda Richards Catching | Speech-Language Pathologist | 123 West Cameron Ave., Rockdale, TX 76567 | 2015-01-27 |
| 1285911123 | Rockdale Blackhawk, LLC | Clinic/Center | 1700 Brazos, Suite A, B and C, Rockdale, TX 76567 | 2011-11-07 |
| 1447206669 | Christen J Leblanc | Emergency Medicine | 1700 Brazos Ave., Rockdale, TX 76567 | 2006-05-26 |
| 1316373616 | Kristi Lynn Estrada | Nurse Practitioner | 1700 Brazos, Rockdale, TX 76567 | 2013-09-18 |
| 1932409786 | Malda Mayo Burns | Counselor | 1503 Skyles Rd, Rockdale, TX 76567-2074 | 2010-10-27 |
| 1740580356 | Burns Professional Services LLC | Community/Behavioral Health | 1503 Skyles Rd, Rockdale, TX 76567-2074 | 2010-10-28 |
| 1639259179 | Arboretum Health Care, Inc. | Skilled Nursing Facility | 700 Dyer St, Rockdale, TX 76567-2208 | 2006-10-17 |
| 1740559640 | Alison Parker | Speech-Language Pathologist | 700 Dyer St, Rockdale, TX 76567-2208 | 2011-12-21 |
| 1730343088 | Elijah N. Doncov | Occupational Therapist | 700 Dyer St, Rockdale, TX 76567-2208 | 2008-07-16 |
| Find all providers in zip 76567 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409251 | Laura Michelle Pantoja | Licensed Vocational Nurse | 2789 County Road 306, Rockdale, TX 76567-5220 | 2019-10-25 |
| 1649836412 | Esmeralda Ruelas-olivares | Licensed Vocational Nurse | 501 E Belton Ave, Rockdale, TX 76567-2920 | 2019-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.