DR. CIARAN THOMAS BRADLEY (NPI# 1518043603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518043603 |
| Entity Type | Individual |
| Full Name | DR. CIARAN THOMAS BRADLEY |
| Credential | M.D. |
| Practice Address |
430 Pennsylvania Ave Ste 350 Glen Ellyn IL 60137-4464 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6307901700 |
| Mailing Telephone | 6307901700 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036133310 | IL | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
036133310 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
430 PENNSYLVANIA AVE STE 350 |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277724 | Arun Kumar Samy | Ophthalmology | 430 Pennsylvania Ave, 170, Glen Ellyn, IL 60137-4464 | 2005-07-05 |
| 1528675014 | Theresa Rose Christopher | Occupational Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2020-09-28 |
| 1386115350 | Marissa Lynn Walsh | Physician Assistant | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2018-12-16 |
| 1740758317 | Ryan Militzer | Physical Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2018-11-12 |
| 1881148898 | Marissa Gill | Physical Therapist | 430 Pennsylvania Ave, Ste 210, Glen Ellyn, IL 60137-4464 | 2016-08-08 |
| 1285095455 | Julie Fischer | Physical Therapy Assistant | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2016-03-15 |
| 1659746980 | Silvana Perri | Physician Assistant | 430 Pennsylvania Ave, 350, Glen Ellyn, IL 60137-4464 | 2015-12-12 |
| 1508103136 | Brock A Gorman | Occupational Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2013-01-16 |
| 1407109739 | Kelli Lynn Madden | Specialist/Technologist, Other | 430 Pennsylvania Ave, Suite 350, Glen Ellyn, IL 60137-4464 | 2012-10-24 |
| 1467701011 | Julie P Kupisch | Physical Therapist | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2012-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508192923 | Jihad Kudsi | Surgery | 430 Pennsylvania Ave Ste 350, Glen Ellyn, IL 60137-4464 | 2009-10-20 |
| 1053455386 | Amrit Mangat | Surgery | 430 Pennsylvania Ave, Suite 350, Glen Ellyn, IL 60137-4464 | 2007-02-19 |
| 1649369737 | Matthew David Cox | Surgery | 430 Pennsylvania Ave, 350, Glen Ellyn, IL 60137-4464 | 2006-10-12 |
| 1750341376 | Van Vallina | Surgery | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1376167809 | Francesco Bajani | Surgery | 664 N Dearborn St Apt 2f, Chicago, IL 60654-3848 | 2020-06-01 |
| 1972123099 | Andrea Liu | Surgery | 5841 S Maryland Ave Mc6040, Chicago, IL 60637-1443 | 2020-04-18 |
| 1750917183 | Alberto Maria Fratti | Surgery | 901 S Ashland Ave Apt 711, Chicago, IL 60607-4088 | 2020-03-17 |
| 1841845047 | Barijuve Surgical LLC | Surgery | 380 E Northwest Hwy Ste 200, Des Plaines, IL 60016-2274 | 2019-08-05 |
| 1164081782 | Sean Park | Surgery | 1739 Tudor Ln Unit 308, Northbrook, IL 60062-3778 | 2019-06-07 |
| 1376014175 | Edwardsville Physicians Group LLC | Surgery | 441 South State Route 157 Suite 102, Edwardsville, IL 62025-4012 | 2018-12-06 |
| 1316421324 | Erica Lester | Surgery | John H Stroger, 1969 Ogden Ave, Chicago, IL 60612 | 2018-09-17 |
| 1023513389 | Crystal Siyu Zhang | Surgery | 2160 S 1st Ave Bldg 3210, Maywood, IL 60153 | 2018-03-28 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
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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.