BRADLEY RALPH HARRIS (NPI# 1326259730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326259730 |
| Entity Type | Individual |
| Full Name | BRADLEY RALPH HARRIS |
| Practice Address |
1658 Hwy 371 West Prescott AR 71857 |
| Mailing Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Practice Telephone | 8708873660 |
| Practice Fax Number | 8708873705 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service 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 |
| 1295862068 | Bradley Metcalf Harris | Dentist | 1755 Kirby Pkwy, Suite 103, Memphis, TN 38120-8300 | 2007-02-27 |
| 1326061870 | Bradley E Harris | Internal Medicine | 1003 S Main St, Bellingham, MA 02019-1826 | 2006-07-25 |
| Street Address |
1658 HWY 371 WEST |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| 1356603088 | Julian George Beasley | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857-7064 | 2012-06-08 |
| 1699046532 | Coral S White | Licensed Practical Nurse | 1658 Hwy 371 West, Prescott, AR 71857-7064 | 2012-01-24 |
| 1417228487 | Brenda Ann Sorrells | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857-7064 | 2012-01-23 |
| 1437350501 | Ida Mae Williamson | Licensed Practical Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-29 |
| 1336340421 | Teresa Joy Lansdell | Licensed Practical Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-29 |
| 1255542643 | Helen Kattena Fant | Licensed Practical Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-25 |
| 1881805216 | Darla Renee Parks | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-25 |
| 1699986026 | Shanita Michelle Johnson | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-25 |
| 1417168840 | Jessica Jade Cross | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1518356112 | Baptist Health | Clinic/Center | 1480 W 1st St N, Suite 2, Prescott, AR 71857 | 2015-01-20 |
| Find all providers in zip 71857 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063909570 | Anthony Marchese | Case Manager/Care Coordinator | 9640 N American Ranch Rd, Prescott, AZ 86305-9042 | 2018-04-19 |
| 1154875193 | Ashley Dixon | Case Manager/Care Coordinator | 1348 Oak Grv, Prescott, AR 71857-2606 | 2016-08-08 |
| 1609147586 | Devon Latresia Wilson | Case Manager/Care Coordinator | 1658 Hwy 371 North, Prescott, AR 71857-7064 | 2012-01-24 |
| 1124315122 | Jacob Brown | Case Manager/Care Coordinator | 736 Martin St, Prescott, AR 71857-2749 | 2011-06-29 |
| 1922120765 | Oliver Marc Scroggins | Case Manager/Care Coordinator | 1484 W 1st St N, Prescott, AR 71857-3339 | 2007-04-04 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1821695925 | Aubrey Walker | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-10-02 |
| 1194350637 | Danny Mclay Jr | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-03-05 |
| 1902431448 | Allegra L Deloney | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2020-03-05 |
| 1346889136 | Robert Robbins | Case Manager/Care Coordinator | 1040 Whipple St, Prescott, AZ 86305-1613 | 2019-12-27 |
| Find all providers in PRESCOTT | ||||
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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.