DR. BRUCE EDWARD BRADLEY (NPI# 1376850099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376850099 |
Entity Type | Individual |
Full Name | DR. BRUCE EDWARD BRADLEY |
Credential | MBCHB |
Practice Address |
100 N Eagle Creek Dr Lexington KY 40509 |
Mailing Address |
100 N Eagle Creek Dr Lexington KY 40509-1805 |
Practice Telephone | 8592585300 |
Practice Fax Number | 8592585357 |
Mailing Telephone | 8592585300 |
Mailing Fax Number | 8592585357 |
Enumeration Date | 2010-09-01 |
Last Update Date | 2019-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 45827 | KY | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
45827 | KY | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 45827 | KY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
Uk Div of Hospital Medicine, 800 Rose Street, Mn604, Lexington, KY 405360294 | 8593236047 | 8592573873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861477143 | Bruce A Bradley | Internal Medicine | 118 Nature Park Rd, Suite 300, Greensburg, PA 15601-6960 | 2005-12-09 |
1801044417 | Bruce H Bradley | Occupational Therapist | 1201 Pine St, Eldorado, IL 62930-1634 | 2008-09-08 |
Street Address |
100 N EAGLE CREEK DR |
City | LEXINGTON |
State | KY |
Zip Code | 40509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487657367 | Cammual Dylan Suttor | Internal Medicine | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2005-05-24 |
1912405416 | Stephanie Middleton | Nurse Practitioner | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2018-01-30 |
1164934733 | Erin Torres | Dietitian, Registered | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2017-11-03 |
1669909230 | Carrie Dunaway Graves | Nurse Practitioner | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2017-05-15 |
1225563521 | Erica Millay | Physician Assistant | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2017-04-24 |
1346623857 | Joshua Eason | Family Medicine | 100 N Eagle Creek Dr, Lexington, KY 40509 | 2015-07-01 |
1982947958 | Shuya Wu | Allergy & Immunology | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2013-03-28 |
1417226879 | Bettye M. Hanks | Pharmacist | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2011-12-14 |
1124397583 | Ann E. Armbruster | Pharmacist | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2011-12-14 |
1093968026 | Michael Thornton Newcomb | Ophthalmology | 100 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2008-11-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
Find all providers in zip 40509 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
1699116814 | Jimmarck Perel Castisimo Cuenta | Internal Medicine | 144 Forest Hill Rd Ste 144&146, Lexington, NC 27295 | 2013-07-16 |
1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
1962730499 | Emma J Birks | Internal Medicine | Uk Gill Heart Institute, 800 Rose St, Lexington, KY 40536-0294 | 2009-11-20 |
1083850069 | Forsyth Medical Group, LLC | Internal Medicine | 208 W Center St Ste B, Lexington, NC 27292-3046 | 2008-12-23 |
1740444520 | Charles R. Salters Jr. | Internal Medicine | 900 S Limestone Ctw 324, Lexington, KY 40536-0200 | 2008-07-11 |
1356515142 | Damien Maxfield Marycz | Internal Medicine | Graduate Medical Education 800 Rose Street, Lexington, KY 40536-0001 | 2008-04-14 |
1518181239 | Ahmed Abdel-latif | Internal Medicine | Gill Heart Institute University of Kentucky, 800 Rose Street, Ste. G100, Lexington, KY 40536-0001 | 2007-04-12 |
1114070422 | Bruce H Coyer | Internal Medicine | 114 Pasadena Dr, Lexington, KY 40503-2907 | 2007-01-19 |
Find all providers in LEXINGTON |
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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.