BRADLEY CHARLES ROBERTSON (NPI# 1336151109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336151109 |
| Entity Type | Individual |
| Full Name | BRADLEY CHARLES ROBERTSON |
| Credential | M.D. |
| Practice Address |
1 Barrington Pl Bel Air MD 21014-5607 |
| Practice Telephone | 4108367205 |
| Practice Fax Number | 4108367235 |
| Mailing Telephone | 4108367205 |
| Mailing Fax Number | 4108367235 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
D0037409 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST | 52997412 | 01 |
| DC | CAREFIRST | K058 0001 | 01 |
| MD | AETNA | 45663365 | 01 |
| MD | MEDICARE | 099N997F | 01 |
| MD | OPTIMUM CHOICE | 3115795 | 01 |
| GA | RAILROAD MEDICARE | P00185846 | 01 |
| MD | UNITED HEALTHCARE | 1056903 | 01 |
| MD | CIGNA | 2432226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760425326 | Bradley Robertson | Emergency Medicine | 1809 Capital Dr, Tyler, TX 75701-8438 | 2006-06-13 |
| 1568580074 | Bradley Robertson | Dentist | 1212 N Cole Rd, Boise, ID 83704-8646 | 2007-03-26 |
| Street Address |
1 BARRINGTON PL |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224088 | Kapil Davar | Dentist | 1 Barrington Pl, Suite 100, Bel Air, MD 21014-5607 | 2005-09-08 |
| 1275986309 | Nova Interventional Pain Management | Clinical Medical Laboratory | 1 Barrington Pl, Suite 103, Bel Air, MD 21014-5607 | 2016-07-13 |
| 1366892168 | Jane Toskes | Physician Assistant | 1 Barrington Pl, Suite 103, Bel Air, MD 21014-5607 | 2016-06-13 |
| 1144690165 | Nova Interventional Pain Management | Durable Medical Equipment & Medical Supplies | 1 Barrington Pl, Suite 103, Bel Air, MD 21014-5607 | 2015-10-02 |
| 1669751327 | Bel Air Pediatric Dentistry, LLC | Dentist | 1 Barrington Pl, Suite 100, Bel Air, MD 21014-5607 | 2011-08-12 |
| 1184940710 | R T Poanellc | Chiropractor | 1 Barrington Pl, Suite 108, Bel Air, MD 21014-5607 | 2010-04-07 |
| 1497087746 | Vidhima Davar | Dentist | 1 Barrington Pl, Suite 100, Bel Air, MD 21014-5607 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073793501 | Bradley C Robertson Md L L C | Surgery | 1 Barrington Place, Suite 106, Bel Air, MD 21014-5607 | 2007-11-13 |
| 1063444859 | Jeffrey D. Horowitz, M.d., L.L.C. | Surgery | 2225 Old Emmorton Rd, Suite 111, Bel Air, MD 21015-6129 | 2006-07-06 |
| 1891726014 | Jeffrey D. Horowitz | Surgery | 2225 Old Emmorton Rd, Suite 111, Bel Air, MD 21015-6129 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713286 | Faulkner Plastic Surgery | Surgery | 6000 Executive Blvd Ste 204, North Bethesda, MD 20852-3803 | 2019-01-03 |
| 1043509748 | Salih Colakoglu | Surgery | 601 N Caroline St # 8152c, Baltimore, MD 21287-0006 | 2011-04-04 |
| 1376786418 | Emile Nathaniel Brown | Surgery | 1838 Greene Tree Rd Ste 370, Pikesville, MD 21208-7102 | 2009-04-17 |
| 1164682746 | Claire Susan Duggal | Surgery | 621 Ridgely Ave 401, Annapolis, MD 21401-1099 | 2008-06-17 |
| 1487813358 | Jerome S Plasse Md Pa | Surgery | 10085 Red Run Blvd #405, Owings Mills, MD 21117 | 2008-06-05 |
| 1093875288 | James E. Vogel | Surgery | 4 Park Center Ct, 100, Owings Mills, MD 21117-5611 | 2006-12-11 |
| 1750463964 | Stephane Corriveau | Surgery | 5530 Wisconsin Ave Ste 711, Chevy Chase, MD 20815-4401 | 2006-10-19 |
| 1477584753 | Alyson Delane Wells | Surgery | 10151 York Rd, Suites 112-114, Hunt Valley, MD 21030-3314 | 2006-07-05 |
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1104803782 | Atlantic Plastic Surgery PC | Surgery | 106 Milford St Ste 305, Salisbury, MD 21804 | 2005-12-27 |
| Find all providers with the same taxonomy | ||||
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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.