MARK STEPHEN BRADLEY (NPI# 1497786867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497786867 |
| Entity Type | Individual |
| Full Name | MARK STEPHEN BRADLEY |
| Credential | MD |
| Practice Address |
1925 Aspen Dr Ste 500b Santa Fe NM 87505-5495 |
| Practice Telephone | 5054662575 |
| Practice Fax Number | 5054662575 |
| Mailing Telephone | 5054662575 |
| Mailing Fax Number | 5054662575 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2002-0015 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 85327760 | 05 | |
| MEDICARE INDIVIDUAL PTAN | NM400109 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275930 | Mark Ed,mund Bradley | Preventive Medicine | 9316 Falls Bridge Ln # M, Potomac, MD 20854-3950 | 2013-06-15 |
| 1356408116 | Mark Winter Bradley | Specialist | 756 Preakness Dr, West Melbourne, FL 32904-7310 | 2007-01-02 |
| 1396793931 | Mark B Bradley | Podiatrist | 1602 W 26th St, Sioux Falls, SD 57105-2610 | 2006-05-05 |
| 1841269040 | Mark Stephen Bradley | Optometrist | 322 E Front St, Trayerise City, MI 49684 | 2006-03-17 |
| 1053727156 | Mark Bradley | Social Worker | 1585 3rd St, Bjach, Fort Polk, LA 71459-5102 | 2014-07-09 |
| 1457648693 | Mark Edward Bradley | Counselor | 63 Fairmount St, Fitchburg, MA 01420-7613 | 2011-07-08 |
| 1659437028 | Mark Vincent Bradley | Psychiatry & Neurology | 423 E 23rd St, New York, NY 10010-5011 | 2006-12-29 |
| 1982775391 | Mark Bradley | Chiropractor | 507 Shelburne Rd, Burlington, VT 05401-5008 | 2006-11-10 |
| 1427162635 | Mark Bradley | Internal Medicine | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-08-18 |
| 1427016575 | Mark R Bradley | Family Medicine | 110 Lone Oak Ln, Hartford, WI 53027-2600 | 2006-05-01 |
| Street Address |
1925 ASPEN DR STE 500B |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-5495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144878943 | Eye Associates of New Mexico, Ltd. | Ophthalmology | 8380 Cerrillos Rd Ste 300, Santa Fe, NM 87507-4418 | 2019-08-27 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1154568913 | Alexander A Constantaras | Ophthalmology | 749 Camino Mirada, Santa Fe, NM 87505-5978 | 2009-01-15 |
| 1912038118 | Jerald J. Littlefield, M.d., P.C. | Ophthalmology | 2100 Calle De La Vuelta Ste E-104, Santa Fe, NM 87505-4742 | 2007-03-08 |
| 1295832889 | Susan Lee Pulling | Ophthalmology | 39 Calle De Luz, Santa Fe, NM 87506-2186 | 2006-09-17 |
| 1851349195 | Henry L Hudson | Ophthalmology | 2055 S Pacheco St Ste 600, Santa Fe, NM 87505-3995 | 2006-05-05 |
| 1407841927 | Mahlon R. Soloway | Ophthalmology | 2947 Rodeo Park Dr E, Santa Fe, NM 87505-6303 | 2005-09-12 |
| 1134423726 | Ryan W. Rogers, M.d., P.C. | Ophthalmology | 2100 Calle De La Vuelta, Santa Fe, NM 87505-4742 | 2010-12-22 |
| 1891929238 | Mark S. Bradley, M.d. LLC | Ophthalmology | 2015 Galisteo St, Santa Fe, NM 87505-2101 | 2009-05-13 |
| 1427073139 | William V Cox | Ophthalmology | 5 Calle Medico, Santa Fe, NM 87505-4724 | 2006-07-13 |
| Find all providers in SANTA FE | ||||
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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.