DR. BRADLEY METCALF HARRIS (NPI# 1295862068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295862068 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY METCALF HARRIS |
| Credential | D.D.S. |
| Practice Address |
1755 Kirby Pkwy Suite 103 Memphis TN 38120-8300 |
| Practice Telephone | 9017670180 |
| Mailing Telephone | 9017670180 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS2633 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053456939 | Bradley A Harris | Chiropractor | 960 S 24th St W Ste J, Billings, MT 59102-6450 | 2007-02-20 |
| 1134108970 | Bradley K Harris | Dentist | 10604 E 96th St, Fishers, IN 46037-9798 | 2006-01-11 |
| 1487282448 | Bradley Daily Harris | Pediatrics | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2020-03-27 |
| 1629570635 | Bradley Michael Harris | Social Worker | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2018-03-06 |
| 1750661658 | Bradley A Harris | Dentist | 714 Walnut St, Anderson, IN 46012-3450 | 2011-08-23 |
| 1396030185 | Bradley J Harris | Psychologist | 320 West Hanover Avenue, Parsippany, NJ 07054 | 2011-06-09 |
| 1861628851 | Bradley S Harris | Dentist | 2247 N Loop 336 W, Conroe, TX 77304-3520 | 2009-06-03 |
| 1487805636 | Bradley Doran Harris | Specialist | 2215 Fuller Rd., Va Medical Center - 121, Ann Arbor, MI 48105 | 2008-10-07 |
| 1326259730 | Bradley Ralph Harris | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-25 |
| 1326061870 | Bradley E Harris | Internal Medicine | 1003 S Main St, Bellingham, MA 02019-1826 | 2006-07-25 |
| Street Address |
1755 KIRBY PKWY SUITE 103 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680369 | Albert L Maduska | Specialist | 1755 Kirby Pkwy, Memphis, TN 38120-8300 | 2005-12-19 |
| 1215392972 | Lacy M Jenkins | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120-8300 | 2015-12-23 |
| 1780954511 | Blair Boeving Cannon | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Ste. 330, Memphis, TN 38120-8300 | 2012-01-10 |
| 1972809648 | Cara C Fisk | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | 2011-01-28 |
| 1780986133 | Lewis Rushing | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120-8300 | 2010-11-17 |
| 1659600591 | Angela W Duncan | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Ste 330, Memphis, TN 38120 | 2009-12-23 |
| 1962649582 | David Derrick | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Ste 330, Memphis, TN 38120 | 2009-01-20 |
| 1457505414 | May Lee Almeria | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Ste 330, Memphis, TN 38120 | 2008-11-04 |
| 1487814133 | Mary Boers | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | 2008-06-16 |
| 1184882565 | Pamela M West | Nurse Anesthetist, Certified Registered | 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | 2008-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558659516 | Mack Endodontics Dds P.C. | Dentist | 5180 Park Ave Ste 300, Memphis, TN 38119-3531 | 2011-07-12 |
| 1043432404 | Larry Kevin Wells | Dentist | 1755 Kirby Parkway, Suite 103, Memphis, TN 38120 | 2007-05-03 |
| 1265567556 | James Ofarrell Shoemaker | Dentist | 1036 Oakhaven Rd, Memphis, TN 38119-3812 | 2007-02-23 |
| 1043221823 | Bryce F Mccreary | Dentist | 7865 Educators Ln, Ste 120, Memphis, TN 38133-8191 | 2006-08-10 |
| 1649292582 | Jerry Frank Taintor | Dentist | 5370 Estate Office Dr # 2, Memphis, TN 38119-3635 | 2006-07-23 |
| 1952306425 | Kenan David Clinton | Dentist | 6401 Poplar Ave, Suite 260, Memphis, TN 38119-4823 | 2005-06-20 |
| 1568024131 | Memphis Endodontics, Plc | Dentist | 1755 Kirby Pkwy Ste 103, Memphis, TN 38120-4333 | 2019-07-03 |
| 1427359678 | Melissa A Marchesan | Dentist | 875 Union Ave, Memphis, TN 38103-3513 | 2010-11-04 |
| 1134340219 | Harvey E Matheny | Dentist | 7865 Educators Ln, Ste. #120, Memphis, TN 38133-8191 | 2007-05-02 |
| 1457485492 | Edward Maurice Mack | Dentist | 5180 Park Ave, Suite 300, Memphis, TN 38119-3521 | 2007-03-14 |
| Find all providers in MEMPHIS | ||||
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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.