DR. STEPHEN P BRADLEY (NPI# 1295825651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295825651 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN P BRADLEY |
| Credential | MD |
| Practice Address |
86-260 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086973300 |
| Practice Fax Number | 8086973687 |
| Mailing Telephone | 8086973300 |
| Mailing Fax Number | 8086973687 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD-6995 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457455024 | Stephen E Bradley | Dentist | 821 24th Ave Nw, Norman, OK 73069-6313 | 2006-09-12 |
| 1134222011 | Stephen Bradley | Physician Assistant | 740 Memorial St, Prosser, WA 99350-1525 | 2006-09-06 |
| 1699746446 | Stephen Peter Bradley | Family Medicine | 5375 Lakeshore Blvd, Lakeport, CA 95453-6123 | 2006-01-30 |
| 1588036982 | Stephen Bradley | Pharmacist | 1896 Route 6, Carmel, NY 10512-2355 | 2015-10-24 |
| 1861700734 | Stephen Bradley | Counselor | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2010-09-14 |
| 1558505537 | Stephen Ralph Bradley | Dentist | 307 Maple Ave W, Suite G, Vienna, VA 22180-4307 | 2009-04-22 |
| 1972671261 | Stephen James Bradley | Counselor | 8 Trumbull Rd, Suite 202, Northampton, MA 01060-3079 | 2006-12-02 |
| 1508950296 | Stephen K Bradley | Anesthesiology | 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094 | 2006-10-03 |
| 1699874644 | Stephen P. Bradley | Internal Medicine | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-09-22 |
| 1164455028 | Stephen Jerome Bradley | Surgery | 4160 John R St, Ste 615, Detroit, MI 48201-2020 | 2006-07-07 |
| Street Address |
86-260 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942266739 | John Louis Myhre | Psychologist | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-04-21 |
| 1154932432 | Steven Keone Young | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-08-11 |
| 1164049169 | Christopher Dayoan | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-25 |
| 1831714930 | Victor Francisco Solis Ojeda | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-15 |
| 1053935320 | Tina Hualani Myers | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-03 |
| 1710516448 | Cody Wei Ming Sia | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-04-04 |
| 1023643921 | Cara Lawler | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-03-11 |
| 1760016273 | Nadiene Oh Wu | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-24 |
| 1568096113 | Cory Daley | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-22 |
| 1437782158 | Annalise Ferreira | Counselor | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518325 | Karen Reynolds Johnston | General Practice | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2018-12-03 |
| 1316042021 | David Russell Jones | General Practice | 86-260 Farrington Hwy, Waianae, HI 96792 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306864 | Sfmba, LLC | General Practice | 1378 Owaka St, Wailuku, HI 96793-9743 | 2020-11-05 |
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1366926313 | Doctors of Waikiki | General Practice | 120 Kaiulani Ave Unit 10&11, Honolulu, HI 96815-6203 | 2018-09-15 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1023517968 | Woundtech of Hawaii, Inc | General Practice | 120 Kaiulani Ave Ste 10-11, Honolulu, HI 96815-6203 | 2018-02-06 |
| 1285184796 | Summer Breeze LLC | General Practice | 4211 Waialae #202, Honolulu, HI 96816-5319 | 2016-10-07 |
| 1164879649 | Patrick Young | General Practice | 400 Hualani St Ste 196, Hilo, HI 96720-4389 | 2016-05-16 |
| 1205216728 | William Garrett Holder Jr. | General Practice | Schofield Barracks Army Health Clinic Glennan Street, Bldg 677, Schofield Barracks, HI 96787 | 2015-06-01 |
| 1487050241 | Coralie A.k. Texeira, M.d. LLC | General Practice | 92-1527 Aliinui Dr, Ste C, Kapolei, HI 96707-2232 | 2014-11-06 |
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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.