MR. KENDALL BRADLEY (NPI# 1255842472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255842472 |
| Entity Type | Individual |
| Full Name | MR. KENDALL BRADLEY |
| Practice Address |
2050 W University Ave Gainesville FL 32603-1746 |
| Practice Telephone | 3526016486 |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | U0376779603 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373683 | Kendall Elizabeth Bradley | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2015-04-08 |
| Street Address |
2050 W UNIVERSITY AVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32603-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714332 | Tracee Roberson Williams | Nurse Practitioner | 2004 Mowry Rd, Uf Institue On Aging; Department of Aging and Geriatric, Gainesville, FL 32603 | 2019-08-08 |
| 1891287421 | Nahel Abugattas | Behavior Technician | 811 Nw 20th St, Gainesville, FL 32603-1024 | 2018-05-30 |
| 1285631705 | Kathleen C Findley | Pharmacist | 817 Nw 21st Ter, Gainesville, FL 32603-1030 | 2005-06-30 |
| 1619116902 | Alecia Louise Skipper Mcdonald | Dentist | 1604 Nw 7th Pl, Gainesville, FL 32603-1210 | 2009-02-11 |
| 1548336886 | Mark Arlen Clayman | Plastic Surgery | 2206 Nw 4th Pl, Gainesville, FL 32603-1407 | 2006-11-28 |
| 1275811135 | Andrew Scott Murray | Dentist | 2245 Nw 5th Pl, Gainesville, FL 32603-1408 | 2011-07-26 |
| 1760550297 | Salem Villages Mrdd, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2006-12-01 |
| 1811322746 | Salem Homes of Florida, Inc. | Intermediate Care Facility, Mentally Retarded | 529 Nw 19th St, Gainesville, FL 32603-1509 | 2013-09-11 |
| 1548446305 | Patrick James Patterson | Recreation Therapist | 1912 1/2 Nw 5th Ave, Gainesville, FL 32603-1538 | 2008-01-11 |
| 1568862241 | Casey Carroll | Specialist/Technologist | 2052 W University Ave, Gainesville, FL 32603-1746 | 2014-08-29 |
| Find all providers in zip 32603 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269397 | Andrew James Herrington | Student in an Organized Health Care Education/Training Program | 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 | 2020-06-15 |
| 1679197495 | Colette R Rackleff | Student in an Organized Health Care Education/Training Program | 4240 Nw 129th St, Gainesville, FL 32606-3549 | 2020-06-08 |
| 1821613605 | Andrew Barton | Student in an Organized Health Care Education/Training Program | 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 | 2020-06-08 |
| 1861016982 | Kate Shannahan | Student in an Organized Health Care Education/Training Program | 4551 Nw 1st Ave, Gainesville, FL 32607-2223 | 2020-06-04 |
| 1790309011 | Michael Massari | Student in an Organized Health Care Education/Training Program | Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-06-02 |
| 1346863396 | Loveneet Kaur | Student in an Organized Health Care Education/Training Program | 7225 Winnipeg Ct, Gainesville, VA 20155-4877 | 2020-05-26 |
| 1326660176 | Lindsay Bouchard | Student in an Organized Health Care Education/Training Program | 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 | 2020-05-15 |
| 1184245938 | Aaron Scarpa | Student in an Organized Health Care Education/Training Program | Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-05-04 |
| 1417578592 | Dylan Jude Ong | Student in an Organized Health Care Education/Training Program | 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 | 2020-04-30 |
| 1134749591 | Vladislav Korenblit | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 | 2020-04-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32603 |
Please comment or provide details below to improve the information on MR. KENDALL BRADLEY.
| 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.