MR. PHILLIP DAVID BRADLEY (NPI# 1407894637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407894637 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP DAVID BRADLEY |
| Credential | O.T. |
| Practice Address |
3610 Springhill Memorial Dr N Mobile AL 36608-1162 |
| Practice Telephone | 2514103600 |
| Practice Fax Number | 2514103720 |
| Mailing Telephone | 2514103600 |
| Mailing Fax Number | 2514103720 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2236 | AL | Other Service Providers |
| Street Address |
3610 SPRINGHILL MEMORIAL DR N |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288679 | Gulf Coast Surgical Partners LLC | Clinic/Center | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2005-07-13 |
| 1467053645 | Sara M Beck | Occupational Therapist | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2020-11-04 |
| 1518591569 | Alabama Joint Replacement, LLC | Case Management | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2020-02-28 |
| 1851923064 | Heather Pope Setterstrom | Nurse Practitioner | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2020-02-05 |
| 1558830885 | Chrysthian Ivan Uribe Avalos | Physical Therapist | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2018-11-15 |
| 1972010056 | Samantha Catlett Wooten | Nurse Practitioner | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2018-01-10 |
| 1225549215 | Taylor Lewis | Occupational Therapist | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2017-10-17 |
| 1659898302 | Savannah Sterling Shumake | Physical Therapist | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2017-08-24 |
| 1184140758 | Andrea Leigh Brantley | Nurse Practitioner | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2017-08-16 |
| 1942749965 | Judith Blake | Physician Assistant | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2017-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083021737 | Jhm Medical Services LLC | Specialist | 6801 Airport Blvd Wcc/hbo, Mobile, AL 36608-3709 | 2014-07-15 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1851522841 | Dr, Timothy Peter Ahmadi M.d. | Specialist | 71 Midtown Park W, Mobile, AL 36606-4151 | 2009-08-07 |
| 1134387913 | Ellen Kay Taylor | Specialist | 1603 Monterey Pl, Mobile, AL 36604-1229 | 2008-05-28 |
| 1548455264 | Angela Karen Mcvay | Specialist | 316b S Sage Ave, Mobile, AL 36606-3616 | 2007-09-06 |
| 1649392051 | Azalea City Physical Therapy | Specialist | 316c S Sage Ave, Mobile, AL 36606-3616 | 2007-04-05 |
| 1306990890 | Michael Biven Lyons | Specialist | 3664 College Ln S, Mobile, AL 36608-1240 | 2007-01-22 |
| 1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
| 1396893814 | William R Higgs | Specialist | 3715 Dauphin St 600, Mobile, AL 36608-1774 | 2007-01-08 |
| 1811058613 | William Stephen Martin | Specialist | 6001 Grelot Rd # A, Mobile, AL 36609-3609 | 2006-12-13 |
| Find all providers in MOBILE | ||||
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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.