DR. BRADLEY CLARK GARDINER (NPI# 1215107255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215107255 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY CLARK GARDINER |
| Credential | MD |
| Practice Address |
9040 Fitzsimmons Dr Mchj-pv- Department of Preventive Medicine Tacoma WA 98431-1000 |
| Practice Telephone | 2534265082 |
| Mailing Telephone | 2534265082 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD24659 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770998601 | Bradley James Gardiner | Internal Medicine | 800 Washington St, Tufts Medical Center, Boston, MA 02111-1552 | 2014-06-30 |
| Street Address |
9040 FITZSIMMONS DR MCHJ-PV- DEPARTMENT OF PREVENTIVE MEDICINE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464483 | Michele Stone | Nurse Anesthetist, Certified Registered | 9040 Fitzsimmons Dr, Mced, Tacoma, WA 98431-1000 | 2005-08-18 |
| 1689175143 | Mitchell Anthony Lion | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2018-02-21 |
| 1295054906 | Gregory Robert Pittman | Emergency Medicine | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-19 |
| 1275852139 | Rebecca Megan Ortolano | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-18 |
| 1104144906 | Victor Young Yu | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-04 |
| 1841517604 | Ian D Funnell | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-03 |
| 1609192095 | Michael Lanton | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-11 |
| 1538484399 | Paul Mitchell Houghtaling | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-05 |
| 1861717217 | Efrain Rivera | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-29 |
| 1518280460 | Emilie Belle Duclos Fitzpatrick | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326253501 | Kristin Elise Erickson | Preventive Medicine | 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 | 2007-05-11 |
| 1619052289 | Kenneth Lynn Bakken | Preventive Medicine | 2200 N 30th St, Suite 201, Tacoma, WA 98403-3364 | 2006-10-25 |
| 1528036738 | Hieu Viet Hoang | Preventive Medicine | Building 9920b East Hayes St., Madigan Amc, Attn: Mchj-pv, Tacoma, WA 98431-0001 | 2006-03-14 |
| 1417958844 | Christopher Littell | Preventive Medicine | 9040 Jackson Avenue Occupational Health, Tacoma, WA 98431 | 2005-08-09 |
| 1689012742 | Leanna Lyn Gordon | Preventive Medicine | 9040 Jackson Avenue, Tacoma, WA 98431-5001 | 2013-06-11 |
| 1699067868 | Reema Ritika Sikka | Preventive Medicine | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2011-05-06 |
| 1952605123 | David Joel Harrowe | Preventive Medicine | 3629 S D St, Mailstop 421, Tacoma, WA 98418-6813 | 2011-01-03 |
| 1801864103 | Mary Jane Gelnett | Preventive Medicine | Commander, Madigan Army Medical Center, Attn: Mchj-pv (dr. Gelnett), Tacoma, WA 98431-0001 | 2006-03-10 |
| 1578539706 | Evelyn Maria Barraza | Preventive Medicine | Madigan Army Medical Center, 9040 Reid St, Attn: Mchj-qcr, Tacoma, WA 98431-0001 | 2006-02-27 |
| 1558349761 | James Edward Cook | Preventive Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-01-06 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on DR. BRADLEY CLARK GARDINER.
| 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.