DR. KEITH BRADLEY (NPI# 1407201247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407201247 |
| Entity Type | Individual |
| Full Name | DR. KEITH BRADLEY |
| Credential | MD |
| Practice Address |
66 Lilalyn Dr Fairfield CT 06825-1310 |
| Practice Telephone | 2037676363 |
| Mailing Telephone | 2037676363 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 023622 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
66 LILALYN DR |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189481 | Eduardo Soloria | Emergency Medicine | 2405 Clara Bea Ln, Fairfield, OH 45014-3974 | 2012-02-16 |
| 1659543544 | Enon Gap Emergency Physicians | Emergency Medicine | 701 Richard M Scrushy Pkwy, Fairfield, AL 35064-2660 | 2008-03-31 |
| 1780755439 | John Scott Bomann | Emergency Medicine | 1235 Mine Hill Rd, Fairfield, CT 06824-2071 | 2006-11-13 |
| 1568485100 | Steven M Heffer | Emergency Medicine | 201 Whites Hill Ln, Fairfield, CT 06824-2177 | 2006-07-25 |
| 1104853191 | Mark Popil | Emergency Medicine | Northbay Medical Center, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 | 2006-06-27 |
| 1760419824 | William Andrew Ankney | Emergency Medicine | Northbay Medical Center - Fairfield, 1200 B Gale Wilson Blvd, Fairfield, CA 94533 | 2006-06-26 |
| 1073579470 | Denise Z Harrison | Emergency Medicine | 401 W Kirkwood Ave, Fairfield, IA 52556-2410 | 2006-04-25 |
| 1356311708 | Larry D. Sutton | Emergency Medicine | 1829 Highway 1, Fairfield, IA 52556-9001 | 2006-01-26 |
| 1255312765 | Michael J. Eisner | Emergency Medicine | 1202 N B St, Fairfield, IA 52556-2084 | 2005-11-10 |
| 1376539700 | Stephen F Israel | Emergency Medicine | 21 Kincaid Dr, Fairfield, IL 62837-1146 | 2005-09-21 |
| Find all providers in FAIRFIELD | ||||
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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.