LAURENCE A BRADLEY (NPI# 1285654442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285654442 |
Entity Type | Individual |
Full Name | LAURENCE A BRADLEY |
Credential | PHD |
Practice Address |
619 19th Street South Birmingham AL 35255-5310 |
Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
Practice Telephone | 2059346600 |
Mailing Telephone | 2057319701 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2009-05-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
585 | AL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | HEALTHSPRING OF ALABAMA | 6065 | 01 |
AL | 000072393 | 05 | |
AL | 009932698 | 05 | |
AL | BLUE CROSS | 000072393 | 01 |
AL | RAILROAD MEDICARE | 660001273 | 01 |
AL | VIVA | R62542 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639516313 | Laurence Martin Bradley Jr. | Dermatology | 4909 N. Glen Park Place, Peoria, IL 61614-4676 | 2013-06-04 |
Street Address |
619 19TH STREET SOUTH |
City | BIRMINGHAM |
State | AL |
Zip Code | 35255-5310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528063716 | Edgar S Underwood | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2005-06-15 |
1518472216 | Kara Burns | Anesthesiology | 619 19th Street South, Birmingham, AL 35249 | 2017-12-05 |
1134586019 | Cari Evans | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-22 |
1366808933 | Kalin Swenson | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-12 |
1912392283 | Brian Trieu | Radiology | 619 19th Street South, Jefferson Tower N468, Birmingham, AL 35249 | 2015-04-02 |
1366873135 | John Douglas Mcrae | Nurse Practitioner | 619 19th Street South, Wp P915, Birmingham, AL 35245-5600 | 2013-12-04 |
1851731533 | Stephen William Knight | Emergency Medicine | 619 19th Street South, Birmingham, AL 35255-5309 | 2013-06-26 |
1649517996 | Ann Seay Adams | Nurse Practitioner | 619 19th Street South, Birmingham, AL 35233 | 2013-01-07 |
1780943852 | John Taylor Jones | Radiology | 619 19th Street South, Jt N338, Birmingham, AL 35249-1900 | 2012-05-10 |
1033425764 | Alex Torres Iannone | Hospitalist | 619 19th Street South, P915, Birmingham, AL 35294 | 2010-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285053173 | Meng-jun Xiong | Pathology | 619 19th Street S, Birmingham, AL 35255-5309 | 2014-04-08 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
1437789468 | Kathleen Margaret Whipple | Psychologist | 895 Puritan Ave, Birmingham, MI 48009-4636 | 2020-01-17 |
1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
1700389418 | Michele Valerie Varady | Psychologist | 700 N Old Woodward Ave Ste 300, Birmingham, MI 48009-1338 | 2018-03-09 |
1932578838 | Craig Counseling Services, P.l.l.c. | Psychologist | 630 N. Old Woodward Ave., Suite 303, Birmingham, MI 48009-3862 | 2015-09-21 |
1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
1659706216 | Antonio Psychology Services LLC | Psychologist | 3516 Vann Rd, Suite 104-b, Birmingham, AL 35235-3275 | 2013-09-13 |
1437498516 | Laura Lynn Lehmann | Psychologist | 500 Lewis Ct, Birmingham, MI 48009-6817 | 2013-02-08 |
1952669780 | Karen R Weiss | Psychologist | 1290 E Lincoln St, Birmingham, MI 48009-7191 | 2012-04-30 |
1336420009 | Lena Agree | Psychologist | 240 Martin St # 100, Birmingham, MI 48009-3352 | 2011-09-07 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35255 |
Please comment or provide details below to improve the information on LAURENCE A 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.