BRADLEY CARROLL (NPI# 1215340773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215340773 |
| Entity Type | Individual |
| Full Name | BRADLEY CARROLL |
| Practice Address |
122 East Avenue Thomas WV 26292-0122 |
| Mailing Address |
Po Box 631 Davis WV 26260-0631 |
| Practice Telephone | 3045167251 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | M04990 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 2012-2932 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033472691 | Bradley Reed Carroll | Physician Assistant | 6001 Westown Pkwy, West Des Moines, IA 50266-7702 | 2012-06-19 |
| Street Address |
122 EAST AVENUE |
| City | THOMAS |
| State | WV |
| Zip Code | 26292-0122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598178089 | Jennifer Walker | Acupuncturist | 122 East Avenue, Thomas, WV 26292-0122 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548365 | Shirley Simmons | Technician | 295 Pierce-benbush Road, Thomas, WV 26292-0389 | 2019-09-26 |
| 1497367304 | Anna Marie Hibbs | Technician | 110 S Euclid Ave, Thomas, WV 26292-7732 | 2020-08-21 |
| 1629009204 | Herbert E Myers | Psychiatry & Neurology | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2006-07-05 |
| 1952916579 | Nicholas Gregory Thilges | Physical Therapist | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2020-09-10 |
| 1750990941 | Tyler Deal | Physical Therapist | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2020-07-24 |
| 1063511731 | Cortland Acres Association Inc. | Nursing Facility/Intermediate Care Facility | 39 Cortland Acres Ln, Thomas, WV 26292-8018 | 2006-09-21 |
| 1962876110 | Preston-taylor Community Health Centers Incorporated | Pharmacy | 30 Cortland Acres Ln, Thomas, WV 26292-8066 | 2015-11-25 |
| 1750401667 | Donald Charles Black | Physical Therapist | Hc 60 Box 98, Thomas, WV 26292-9704 | 2007-04-02 |
| 1821082801 | Edwin Rader | Family Medicine | 30 Cortland Acres Lane, Thomas, WV 26292-9704 | 2005-09-07 |
| 1801342167 | Angela Browning | Nurse Practitioner | 30 Cortland Acres Lane, Thomas, WV 26292-9704 | 2016-08-28 |
| Find all providers in zip 26292 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549209 | Sharon Tickle | Massage Therapist | 1987 Old Princeton Rd, Bluefield, WV 24701-8049 | 2020-08-20 |
| 1912523630 | Rachel Fronck | Massage Therapist | 1636 Rock Cliff Dr, Martinsburg, WV 25401-3274 | 2020-06-18 |
| 1326669987 | Gorgeworks Massage & Fitness, LLC | Massage Therapist | 325 Jones Avenue, Oak Hill, WV 25901-2908 | 2020-05-05 |
| 1669005674 | Dawn Fasig | Massage Therapist | 11 Commerce Dr Ste 100, Morgantown, WV 26501-3858 | 2020-02-18 |
| 1629609227 | Evelyn Garcia | Massage Therapist | 110 Congress St, Berkeley Springs, WV 25411-1510 | 2020-02-01 |
| 1609407279 | Marissa Ann Mitchell | Massage Therapist | 1991 Stadium Dr, Bluefield, WV 24701-3324 | 2020-01-31 |
| 1700417367 | Curran Adler Johnston | Massage Therapist | 1008 Winchester Ave, Martinsburg, WV 25401-1764 | 2020-01-31 |
| 1033754593 | Chrissy Runk | Massage Therapist | 340 Mount Nebo Rd, Buckhannon, WV 26201-6814 | 2019-11-08 |
| 1962045815 | Jeanette Danielle Davis | Massage Therapist | 415 1/2 D St Ste 3, South Charleston, WV 25303-3114 | 2019-10-23 |
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| 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.