BRADLEY BOMBA (NPI# 1356957591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356957591 |
| Entity Type | Individual |
| Full Name | BRADLEY BOMBA |
| Practice Address |
302 Yosemite Dr Victoria TX 77904-3662 |
| Mailing Telephone | 3615711065 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
770765 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BON | 770765 | 01 |
| Street Address |
302 YOSEMITE DR |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 163WH0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hemodialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064883 | Yuna Manika Muyinda | Registered Nurse | 441 Spring Dr, Fort Worth, TX 76131-3161 | 2020-05-07 |
| 1821626029 | Kidney Home Care Solutions LLC | Registered Nurse | 10124 Clemmons Rd, Fortworth, TX 76108-2063 | 2020-04-01 |
| 1649831173 | Lisa Kay Binkley | Registered Nurse | 13722 Citrus Wood Park Ln, Rosharon, TX 77583-1638 | 2019-06-25 |
| 1871055822 | Eastland Dialysis Center, LLC | Registered Nurse | 2300 Commerce Street, Eastland, TX 76448 | 2019-04-01 |
| 1841701265 | Josephat Omweno Kirochi | Registered Nurse | 5784 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-10-12 |
| 1609391416 | Spectrum Kidney Care LLC | Registered Nurse | 521 N Sam Houston Pkwy E Ste 635, Houston, TX 77060-4077 | 2017-08-14 |
| 1750639662 | Singular Care Home Health Services, Inc. | Registered Nurse | 11161 Shadow Creek Pkwy Ste 229, Pearland, TX 77584-7286 | 2012-08-27 |
| 1578810263 | Emeka N Ozumba | Registered Nurse | 5307 Silver Sage Ln, Rosharon, TX 77583-2375 | 2012-08-13 |
| 1184920894 | Amena Guinn Babers | Registered Nurse | 7253 Normandy Rd, Fort Worth, TX 76112-5350 | 2011-01-28 |
| 1669672937 | Basimah Dhakirah Abubakar | Registered Nurse | 1301 Willoughby Ln Apt 5324, Arlington, TX 76011-2922 | 2007-07-24 |
| 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.