MICHAEL JACK BRADLEY (NPI# 1407907348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407907348 |
| Entity Type | Individual |
| Full Name | MICHAEL JACK BRADLEY |
| Practice Address |
6551 Harris Pkwy Ste 205 Fort Worth TX 76132-6103 |
| Practice Telephone | 8173706118 |
| Practice Fax Number | 8173707118 |
| Mailing Telephone | 8173706118 |
| Mailing Fax Number | 8173707118 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
R0166 | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179396 | Michael Bradley | Driver | 1202 Taylor St, Fredericksburg, VA 22401-2664 | 2017-08-11 |
| 1346438231 | Michael E Bradley | Occupational Therapist | 4179 Woodley Creek Rd, Jacksonville, FL 32218-9185 | 2007-10-04 |
| 1225131444 | Michael James Bradley | Ophthalmology | 11820 S State St, Draper, UT 84020-7133 | 2006-09-06 |
| 1982250411 | Michael Bradley | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-12 |
| 1841758604 | Michael Bradley | Counselor | 815 Grandview Rd, Oil City, PA 16301-2077 | 2019-03-11 |
| 1386091346 | Michael Bradley | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-05-19 |
| 1770954166 | Michael Bradley | Behavioral Analyst | 1469 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-10-12 |
| 1265860878 | Michael Shane Bradley | Physician Assistant | 404 Shoppers Dr, Winchester, KY 40391-1378 | 2013-10-16 |
| 1922270644 | Michael Joseph Bradley | Internal Medicine | 7101 Jahnke Rd, Hca, Richmond, VA 23225 | 2008-04-02 |
| 1972771293 | Michael Douglas Bradley | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2008-02-20 |
| Street Address |
6551 HARRIS PKWY STE 205 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264443 | David Atteberry Nethery | Ophthalmology | 6551 Harris Pkwy, Ste 200, Fort Worth, TX 76132-6102 | 2005-06-08 |
| 1538170485 | Clearwater Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 6551 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6103 | 2006-08-10 |
| 1568401594 | Baylen Clint Bastible | Physician Assistant | 6551 Harris Pkwy, Suite 250, Fort Worth, TX 76132-6103 | 2006-06-05 |
| 1497714026 | Kenneth J Buley | Physical Medicine & Rehabilitation | 6551 Harris Pkwy, Suite 110, Fort Worth, TX 76132-6105 | 2006-03-22 |
| 1386624476 | David Maldonado IIi | Internal Medicine | 6551 Harris Pkwy, Suite 250, Fort Worth, TX 76132-6103 | 2006-01-17 |
| 1831196088 | Karl Bruno Brandenberg | Ophthalmology | 6551 Harris Pkwy, Suite 200, Fort Worth, TX 76132-6102 | 2005-07-01 |
| 1740287994 | David A. Nethery, M.d., P.a. | Ophthalmology | 6551 Harris Pkwy, Suite 200, Fort Worth, TX 76132-6102 | 2005-07-01 |
| 1659378800 | Cityview Surgery Center, Ltd. | Clinic/Center | 6551 Harris Pkwy, Suite 100, Fort Worth, TX 76132-6102 | 2005-07-01 |
| 1871590471 | Joan L Abernethy | Ophthalmology | 6551 Harris Pkwy, Suite 200, Fort Worth, TX 76132-6103 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504063 | National Vision Inc | Technician/Technologist | 2600 W 7th St Ste 145, Fort Worth, TX 76107-9301 | 2018-07-13 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1447636600 | Zaheer Habibi | Technician/Technologist | 2536 Mall Cir, Suite D, Fort Worth, TX 76116-1545 | 2015-08-10 |
| 1902203805 | National Vision, Inc. | Technician/Technologist | 4811 Overton Ridge Blvd, Ste 228, Fort Worth, TX 76132-1972 | 2014-11-21 |
| 1851716625 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3016 Texas Sage Trl, Fort Worth, TX 76177-8589 | 2014-03-03 |
| 1972943355 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2401 Avondale Haslet, Fort Worth, TX 76052 | 2013-06-28 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1558636324 | Christina Wolinski | Technician/Technologist | 3789 N Beach St, Suite 213, Fort Worth, TX 76137-3244 | 2012-03-13 |
| 1225205602 | Willie Jake Wright II | Technician/Technologist | 5862 S Hulen St, Fort Worth, TX 76132-2684 | 2008-05-14 |
| 1013050319 | Janice Kay Faulkner | Technician/Technologist | 1223 5th Ave, Fort Worth, TX 76104 | 2007-02-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on MICHAEL JACK BRADLEY.
| 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.