DR. BRADLEY BRENNAN BACKOFF (NPI# 1255710596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255710596 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY BRENNAN BACKOFF |
| Credential | D.P.M |
| Practice Address |
1700 E Market St Warren OH 44483 |
| Mailing Address |
Po Box 378 Sandusky OH 44871-0378 |
| Practice Telephone | 3303995577 |
| Practice Fax Number | 3303996918 |
| Mailing Telephone | 4196266161 |
| Mailing Fax Number | 4195023511 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36.003887 | OH | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 444 S Meridian St Ste 7, Ravenna, OH 44266 | 3302977330 | |
| 4696 Mahoning Ave Nw, Warren, OH 444831419 | 3308470072 | |
| 1700 E Market St Ste 105, Warren, OH 444836625 | 3303995577 |
| Street Address |
1700 E MARKET ST |
| City | WARREN |
| State | OH |
| Zip Code | 44483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095217 | Michael C Beaudis | Podiatrist | 1700 E Market St, Warren, OH 44483-6625 | 2005-06-30 |
| 1093287997 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1700 E Market St, Warren, OH 44483-6625 | 2018-12-18 |
| 1407247075 | Allergy Sinus Asthma Practice, LLC | Allergy & Immunology | 1700 E Market St, Warren, OH 44483-6625 | 2015-02-18 |
| 1740687565 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1700 E Market St, Suite 105, Warren, OH 44483-6625 | 2014-11-21 |
| 1942467840 | Sudhir G. Baji, M.d., Inc. | Urology | 1700 E Market St, Suite# 110, Warren, OH 44483-6625 | 2008-05-19 |
| 1265610760 | Girard A. Chirozzi, Dpm | Podiatrist | 1700 E Market St, Suite 105, Warren, OH 44483-6625 | 2008-02-06 |
| 1861671802 | Kartar S. Khanuja M.d.inc. | Internal Medicine | 1700 E Market St, 112, Warren, OH 44483-6625 | 2007-10-26 |
| 1013113299 | Ankle and Foot Care Centers | Podiatrist | 1700 E Market St, St 105, Warren, OH 44483-6625 | 2007-06-25 |
| 1003872235 | Sudhir G Baji | Urology | 1700 E Market St, Suite#110, Warren, OH 44483-6625 | 2006-04-25 |
| 1356320857 | Kartar S Khanuja | Internal Medicine | 1700 E Market St, Suite 112, Warren, OH 44483-6625 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134501885 | Jamie L Matteo Dpm, Inc | Podiatrist | 628 Niles Cortland Road Se Suite 103, Warren, OH 44484-2473 | 2015-06-18 |
| 1962841544 | Siraj Panchbhaiya | Podiatrist | 11900 E 12 Mile Rd Ste 102, Warren, MI 48093-3487 | 2013-06-18 |
| 1194061002 | Advanced Podiatry Ankle & Footcare Centers Inc | Podiatrist | 4441 Mahoning Ave Nw Ste A, Warren, OH 44483-1976 | 2012-12-20 |
| 1336389519 | Cara Christine Dunbar Kalogerou | Podiatrist | 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 | 2009-02-27 |
| 1588804132 | Kenneth James Donovan | Podiatrist | 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059-5603 | 2009-02-23 |
| 1437124492 | A Caring Podiatrist Inc | Podiatrist | 2900 Elm Road Ne, Warren, OH 44483 | 2006-02-22 |
| 1194703157 | Diana G Karnavas | Podiatrist | 4441 Mahoning Ave Nw, Suite A, Warren, OH 44483-1932 | 2006-01-09 |
| 1982606414 | Charles Gregory Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1326531377 | Giulia Consulting Pllc | Podiatrist | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | 2018-06-13 |
| Find all providers in WARREN | ||||
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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.