MR. BRADLEY DORAN HARRIS (NPI# 1487805636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487805636 |
Entity Type | Individual |
Full Name | MR. BRADLEY DORAN HARRIS |
Credential | C.O. |
Practice Address |
2215 Fuller Rd. Va Medical Center - 121 Ann Arbor MI 48105 |
Practice Telephone | 7347697100 |
Practice Fax Number | 7348453227 |
Mailing Telephone | 7347697100 |
Mailing Fax Number | 7348453227 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053456939 | Bradley A Harris | Chiropractor | 960 S 24th St W Ste J, Billings, MT 59102-6450 | 2007-02-20 |
1134108970 | Bradley K Harris | Dentist | 10604 E 96th St, Fishers, IN 46037-9798 | 2006-01-11 |
1487282448 | Bradley Daily Harris | Pediatrics | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2020-03-27 |
1629570635 | Bradley Michael Harris | Social Worker | 755 E Mcdowell Rd, Phoenix, AZ 85006-2506 | 2018-03-06 |
1750661658 | Bradley A Harris | Dentist | 714 Walnut St, Anderson, IN 46012-3450 | 2011-08-23 |
1396030185 | Bradley J Harris | Psychologist | 320 West Hanover Avenue, Parsippany, NJ 07054 | 2011-06-09 |
1861628851 | Bradley S Harris | Dentist | 2247 N Loop 336 W, Conroe, TX 77304-3520 | 2009-06-03 |
1326259730 | Bradley Ralph Harris | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-05-25 |
1295862068 | Bradley Metcalf Harris | Dentist | 1755 Kirby Pkwy, Suite 103, Memphis, TN 38120-8300 | 2007-02-27 |
1326061870 | Bradley E Harris | Internal Medicine | 1003 S Main St, Bellingham, MA 02019-1826 | 2006-07-25 |
Street Address |
2215 FULLER RD. VA MEDICAL CENTER - 121 |
City | ANN ARBOR |
State | MI |
Zip Code | 48105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598858292 | Steven Michael Gentz | Registered Nurse | 2215 Fuller Rd., Ann Arbor, MI 48105 | 2006-10-02 |
1538667373 | Megan Elizabeth Mills | Pharmacist | 2215 Fuller Rd., Ann Arbor, MI 48105-2303 | 2018-01-26 |
1215184379 | Asha Rani Kaza | Radiology | 2215 Fuller Rd., Va Ann Arbor Healthcare System, Ann Arbor, MI 48105 | 2008-08-20 |
1427139955 | Joyce E Fraker | Occupational Therapist | 2215 Fuller Rd., Ann Arbor, MI 48105 | 2006-10-18 |
1366532327 | Thomas Michael Ross | Social Worker | 2215 Fuller Rd., Social Work Service, Ann Arbor, MI 48105-2323 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
Find all providers in zip 48105 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083162929 | Delisa Shepherd | Specialist | 3050 Washtenaw Ave, Studio 9, Ann Arbor, MI 48104-5160 | 2016-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699375915 | Derrick Darnell Gills | Specialist | 29935 Northwestern Hwy, Southfield, MI 48034-1020 | 2020-10-27 |
1609473511 | Laverne Denise Williams | Specialist | 19504 Steel St, Detroit, MI 48235-1240 | 2020-10-04 |
1619586682 | Saundranita Rezia Powe | Specialist | 5642 W Maple Rd Ste 15, West Bloomfield, MI 48322-3795 | 2020-07-27 |
1184232829 | Marlena Young | Specialist | 20141 Bramford St, Detroit, MI 48234-3201 | 2020-07-20 |
1770102725 | Nekia Morris Cutright | Specialist | 29584 Howard Ave, Madison Heights, MI 48071-2587 | 2020-04-09 |
1871122366 | I Am Ashley Monae Collection LLC | Specialist | 29746 Southfield Rd Ste 204, Southfield, MI 48076-2088 | 2020-04-06 |
1427695857 | Frederick Henry Moore Jr. | Specialist | 14000 Lakeside Cir, Sterling Heights, MI 48313-1320 | 2019-12-04 |
1982269320 | Shaana Whiteside | Specialist | 33423 Woodward Ave, Birmingham, MI 48009-0907 | 2019-05-01 |
1740844943 | Daniel Herrera Iv | Specialist | 5560 State St, Saginaw, MI 48603-3496 | 2019-04-24 |
1578023149 | Tyrus Wright | Specialist | 27208 Southfield Rd Ste 3, Lathrup Village, MI 48076-7912 | 2019-03-21 |
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.