DR. GARY BRADLEY (NPI# 1457631350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457631350 |
| Entity Type | Individual |
| Full Name | DR. GARY BRADLEY |
| Credential | D.O. |
| Practice Address |
2854 Se Federal Hwy Stuart FL 34994 |
| Mailing Address |
2854 Se Federal Hwy Stuart FL 34994-5738 |
| Practice Telephone | 7722230953 |
| Practice Fax Number | 7722230987 |
| Mailing Telephone | 7722230953 |
| Mailing Fax Number | 7722230987 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS12651 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015514500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336461508 | Gary Carl Bradley | Pharmacist | 5049 Oneida Trl, Milton, FL 32583-8449 | 2010-02-15 |
| 1639191497 | Gary William Bradley | Dentist | 1100 1st Ave No, Escanaba, MI 49829 | 2006-07-24 |
| 1386756724 | Gary W Bradley | Orthopaedic Surgery | 511 Bath St, Santa Barbara, CA 93101 | 2006-08-31 |
| Street Address |
2854 SE FEDERAL HWY |
| City | STUART |
| State | FL |
| Zip Code | 34994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356360606 | Richard Dube | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994 | 2006-07-18 |
| 1093269557 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-08-12 |
| 1205280880 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2016-04-20 |
| 1437535663 | Olga Fernandez | Dietitian, Registered | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2015-08-11 |
| 1811383433 | Wendy Sue Leroy | Family Medicine | 2854 Se Federal Hwy, Stuart, FL 34994 | 2015-04-09 |
| 1265714497 | Richard A Dube Md Inc. | Clinic/Center | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2011-09-14 |
| 1790971356 | Hillary C Morris | Nurse Practitioner | 2854 Se Federal Hwy, Stuart, FL 34994-5738 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271699 | Treasure Coast Physical Medicine, LLC | General Practice | 529 Se Palm Beach Rd, Suite 102, Stuart, FL 34994-2477 | 2013-04-30 |
| 1669816583 | Ralph H. Greenwasser Sr. | General Practice | 6 Castle Hill Way, Stuart, FL 34996-6507 | 2013-04-22 |
| 1194715367 | Bernice Marie Burkarth | General Practice | 1201 Se Indian St, Stuart, FL 34997-5688 | 2005-10-27 |
| 1760909535 | Tia Lynn Fox | General Practice | 1050 Se Monterey Rd Ste 101, Stuart, FL 34994-4512 | 2017-08-23 |
| 1194241729 | David Jose Cohen | General Practice | 3441 Se Willoughby Blvd, Stuart, FL 34994-5060 | 2017-08-15 |
| 1881085827 | Amilcar M Lominchar | General Practice | 3441 Se Willoughby Blvd, Stuart, FL 34994-5060 | 2015-02-12 |
| 1902204860 | Richard A Dube | General Practice | 1500 Se Palm Beach Rd, Stuart, FL 34994-4044 | 2014-12-09 |
| 1194992495 | Zofia Susan Zukotynski | General Practice | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2008-05-15 |
| 1700095130 | Agenixed Corporation | General Practice | 1001 Se Ocean Blvd, Suite 105, Stuart, FL 34996-2511 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 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.