BRADLEY GORDON TUCKER (NPI# 1467733352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467733352 |
Entity Type | Individual |
Full Name | BRADLEY GORDON TUCKER |
Credential | M.D. |
Practice Address |
3737 Market St Fl 6 Philadelphia PA 19104-5545 |
Practice Telephone | 2152949150 |
Mailing Telephone | 2152949150 |
Enumeration Date | 2011-09-06 |
Last Update Date | 2015-10-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | MD454327 | PA | Allopathic & Osteopathic Physicians |
Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
MD454327 | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508298019 | Bradley William Tucker | Dentist | 940 Black Canyon Way, Montrose, CO 81403-9833 | 2013-08-07 |
Street Address |
3737 MARKET ST FL 6 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104-5545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992930408 | Sara Dana Wasserman | Internal Medicine | 3737 Market St Fl 6, Philadelphia, PA 19104 | 2009-05-28 |
1396130639 | Ryan Charette | Orthopaedic Surgery | 3737 Market St Fl 6, Philadelphia, PA 19104-5545 | 2015-04-03 |
1962817148 | Hannah H Lee | Orthopaedic Surgery | 3737 Market St Fl 6, Philadelphia, PA 19104-5545 | 2014-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
Find all providers in zip 19104 |
Taxonomy Code | 2081N0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Neuromuscular Medicine |
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205015252 | Vadim Kipiller | Physical Medicine & Rehabilitation | 1110 Greenfield Ave, Pittsburgh, PA 15217-2931 | 2007-10-26 |
1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
1144827999 | Lesley A Destefano | Physical Medicine & Rehabilitation | 211 N 12th St, Lehighton, PA 18235-1138 | 2020-10-05 |
1508417601 | George Ferris Neurohope Center, LLC | Physical Medicine & Rehabilitation | 5930 6th Ave Ste 1, Altoona, PA 16602-1115 | 2019-09-20 |
1780092494 | Valley Medical Center, Inc | Physical Medicine & Rehabilitation | 40 S Walnut St, Sharpsville, PA 16150-1269 | 2014-07-25 |
1265670996 | East Shore Medical & Pain Management PC | Physical Medicine & Rehabilitation | 915 N Mountain Rd, Suite C, Harrisburg, PA 17112-1793 | 2009-02-03 |
City | PHILADELPHIA |
Zip Code | 19104 |
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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.