BRADLEY J MUDGE (NPI# 1205839321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205839321 |
| Entity Type | Individual |
| Full Name | BRADLEY J MUDGE |
| Credential | DO |
| Practice Address |
4735 Ogletown Stanton Rd Ste 3301 Newark DE 19713-7021 |
| Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
| Practice Telephone | 3026234370 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C2-0023816 | DE | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | OS012512 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1011049150002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891764700 | Bradley Pierce Mudge | Plastic Surgery | 240 Newport Center Drive, Suite 105, Newport Beach, CA 92660-7538 | 2006-03-14 |
| Street Address |
4735 OGLETOWN STANTON RD STE 3301 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-7021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801429931 | Mary Karcher | Registered Nurse | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2020-02-18 |
| 1184256182 | Carlisa M Brown | Registered Nurse | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2020-02-07 |
| 1912467523 | Joelle Briggs | Registered Nurse | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2019-03-20 |
| 1265917843 | Beth A Marion | Nurse Practitioner | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2018-09-28 |
| 1972053619 | Bonnie Chambers | Nurse Practitioner | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2016-10-06 |
| 1477949816 | Breighanna Gray | Registered Nurse | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2015-04-13 |
| 1538489687 | Marcin Andrew Jankowski | Surgery | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2010-06-10 |
| 1114122355 | Leonard Mason | Surgery | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2007-06-18 |
| 1508916909 | William Christopher Egan | Surgery | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2007-01-11 |
| 1326058660 | Kimberly Lenore Wright | Physician Assistant | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2006-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663869 | Niravkumar M Chauhan | Surgery | 185 S Orange Ave # Msbf508b, Newark, NJ 07103-2757 | 2018-03-21 |
| 1821449604 | Joseph Galloway | Surgery | 140 Bergen Street Acc-d1610, Newark, NJ 07103 | 2016-06-23 |
| 1962844621 | John Daniel Robb | Surgery | 4755 Ogletown Stanton Road Ste 1e50, Ctr for Heart & Vascular Health Christiana Hospital, Newark, DE 19718-2200 | 2013-07-23 |
| 1992083521 | Ioannis Loumiotis | Surgery | 201 Lyons Ave Ste G5, Newark, NJ 07112-2027 | 2011-08-01 |
| 1336434257 | Nicole Goulet | Surgery | 185 S Orange Ave # Msbg514, Newark, NJ 07103-2757 | 2011-06-20 |
| 1366679946 | Adriana I Suarez-ligon | Surgery | 205 South Orange Avenue, F 1214, Newark, NJ 07103 | 2009-06-22 |
| 1285809475 | Jason Evan Davis | Surgery | 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 | 2008-04-28 |
| 1306068788 | Melissa Marie Alvarez-downing | Surgery | 90 Bergen St Fl 7, Newark, NJ 07103-2425 | 2007-05-03 |
| 1447305107 | Nikolay Mindadze | Surgery | 4735 Ogletown Stanton Road, Suite 3301, Medical Arts Pavillion 2, Newark, DE 19713-2067 | 2007-01-24 |
| 1639245350 | Howard Reeves | Surgery | 131 Mcmillen Drive, Newark, OH 43055 | 2006-11-27 |
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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.