MR. JOHN BRADLEY CHENAULT (NPI# 1225007107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225007107 |
| Entity Type | Individual |
| Full Name | MR. JOHN BRADLEY CHENAULT |
| Credential | NBC-HIS; A.C.A. |
| Practice Address |
2112 Stonewall St Greenville TX 75401-3344 |
| Practice Telephone | 9034555424 |
| Practice Fax Number | 9034558922 |
| Mailing Telephone | 9034555424 |
| Mailing Fax Number | 9034558922 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 50067 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 528263 | 01 |
| TX | 022438801 | 05 | |
| TX | 1871668970 | 05 |
| Street Address |
2112 STONEWALL ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871668970 | Chenault House of Hearing, Inc | Hearing Instrument Specialist | 2112 Stonewall St, Greenville, TX 75401-3344 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700143369 | Kaitlin Louise Reinke | Specialist/Technologist | 7264 High Timbers Dr, Greenville, MI 48838-7161 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626833 | Physical Therapy Today of Lubbock Lp | Specialist/Technologist | 12115 Indiana Ave Ste 2, Lubbock, TX 79423-5501 | 2020-10-14 |
| 1760099824 | Jerome Allen Jr. | Specialist/Technologist | 7324 Southwest Fwy Ste 325, Houston, TX 77074-2058 | 2020-09-23 |
| 1861007445 | Svitlana Kravchenko | Specialist/Technologist | 8518 Heraldry St, San Antonio, TX 78254-2425 | 2020-09-10 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1255862215 | Kelsey Nancarrow | Specialist/Technologist | 611 Chevy Chase Cir, Sugar Land, TX 77478-3601 | 2017-03-22 |
| 1891246856 | Melissa Reinert | Specialist/Technologist | 1300 Conner Ave, Fort Worth, TX 76105-1423 | 2016-10-14 |
| 1962874693 | Ashley Anne Smith | Specialist/Technologist | 2110 Long Forest Road, Heartland, TX 75126 | 2015-10-21 |
| 1073753067 | Open Arms Therapeutic Riding Center | Specialist/Technologist | 1404 Channing St, Dalhart, TX 79022-2217 | 2009-03-03 |
| 1568609311 | Matthew J Fiala | Specialist/Technologist | 522 Atlantic St, Corpus Christi, TX 78404-2921 | 2009-01-15 |
| 1255527487 | Jawanda J. Corbin-newsome | Specialist/Technologist | 1027 Windy Pond, San Antonio, TX 78260-2596 | 2007-09-20 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.