BRADLEY FRANK GUTIERREZ (NPI# 1528074416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528074416 |
| Entity Type | Individual |
| Full Name | BRADLEY FRANK GUTIERREZ |
| Credential | DO |
| Practice Address |
11800 E 12 Mile Road St John Macomb Hospital Dept of Emergency Medicine Warren MI 48093 |
| Mailing Address |
17400 Beechwood Ave Beverly Hills MI 48025 |
| Practice Telephone | 5865735059 |
| Mailing Telephone | 2485405848 |
| Mailing Fax Number | 2485405848 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101015154 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
11800 E 12 MILE ROAD ST JOHN MACOMB HOSPITAL DEPT OF EMERGENCY MEDICINE |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962660506 | Connie Jean Stefanski | Dietitian, Registered | 11800 E 12 Mile Road, St John Macomb Hospital Pt Education Dept Mec, Warren, MI 48093-3472 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275853897 | Mae Faye De La Calzada-jeanlouie | Emergency Medicine | 16 Foxglove Dr, Warren, NJ 07059-5000 | 2010-06-05 |
| 1437103371 | Markham Emergency Physicians LLC | Emergency Medicine | 404 S Bradley St, Warren, AR 71671-3459 | 2006-05-22 |
| 1659358588 | Pedro A Ballester | Emergency Medicine | 1405 E Market St, Warren, OH 44483-6609 | 2005-12-30 |
| 1285619239 | Zachary F Veres | Emergency Medicine | 4681 Mahoning Ave Nw, Warren, OH 44483-1418 | 2005-12-13 |
| 1366427312 | Melissa S Knarr | Emergency Medicine | 667 Eastland Avenue Se, Warren, OH 44484 | 2005-12-13 |
| 1508850611 | Ernest Depasquale | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2005-09-02 |
| 1124501861 | Steward Emergency Physicians Ohio Inc | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2018-09-10 |
| 1992223762 | Jessica Katherine Hall | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2017-08-31 |
| 1689102535 | Gurtejbir Singh Bilkhu | Emergency Medicine | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2017-05-23 |
| 1417483538 | Ryan Patrick Adkins | Emergency Medicine | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2017-05-10 |
| Find all providers in WARREN | ||||
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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.