DR. BRADLEY EVAN MINTER (NPI# 1578901542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578901542 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY EVAN MINTER |
| Credential | M.D. |
| Practice Address |
164 Summit Ave Providence RI 02906-2853 |
| Mailing Address |
593 Eddy St Division of Geriatrics Providence RI 02903-4923 |
| Practice Telephone | 4017932104 |
| Mailing Telephone | (401) 444-5284 |
| Mailing Fax Number | 4014443397 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2017-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R73909 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD15438 | RI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | MD15438 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
164 SUMMIT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369512 | Josephine Salhab | Physician Assistant | 164 Summit Ave, Rm C70, Providence, RI 02906-2853 | 2005-07-13 |
| 1619519865 | Sarah Mcnerney | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2019-10-09 |
| 1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
| 1689233975 | Nicole Parascandolo | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2894 | 2019-06-10 |
| 1164992558 | Lisha Andrew | Dietitian, Registered | 164 Summit Ave, Providence, RI 02906-2894 | 2018-11-28 |
| 1689156242 | Monique Coley | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2894 | 2018-08-30 |
| 1235615006 | Sameh Mohamed | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2894 | 2018-07-16 |
| 1578058087 | Noor N Safadi | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2018-06-27 |
| 1356847172 | Heidi Jimenez | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-04-02 |
| 1831694439 | Laura Canavan | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215450499 | Zubair Shahid Bashir | Hospitalist | 593 Eddy St, Providence, RI 02903-4923 | 2017-07-19 |
| 1235651332 | Syed M. Yunus Raza Naqvi | Hospitalist | 164 Summit Ave, Providence, RI 02906-2853 | 2017-07-10 |
| 1154843332 | Khawaja Hasham Faisal | Hospitalist | 593 Eddy St, Providence, RI 02903-4923 | 2017-07-10 |
| 1295267870 | Ali Mrad | Hospitalist | 593 Eddy St, Providence, RI 02903-4923 | 2017-04-01 |
| 1750834438 | Fatima Najeeb | Hospitalist | 593 Eddy St, Providence, RI 02903-4923 | 2016-07-28 |
| 1457709800 | Yixi Zhang | Hospitalist | 593 Eddy St, Providence, RI 02903-4923 | 2016-05-26 |
| 1780068585 | Basarat Ullah Baig | Hospitalist | 593 Eddy St, Providence, RI 02903-4923 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831612035 | Mina Gamal Nasr Wilson | Hospitalist | 25 Wells St, Westerly, RI 02891-2922 | 2017-07-19 |
| 1134658966 | Rhode Island Post Acute Medical Services 1 PC | Hospitalist | 161 Post Rd, Westerly, RI 02891-2673 | 2017-06-06 |
| 1427497726 | Sajedabanu Momin | Hospitalist | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2013-06-19 |
| 1164867743 | Woonsocket Hospitalists | Hospitalist | 115 Cass Avenue, Woonsocket, RI 02895 | 2013-05-08 |
| 1932496098 | Pooja Verma | Hospitalist | 455 Toll Gate Rd, Kent Hospital, Warwick, RI 02886 | 2011-07-08 |
| 1750677969 | Yayra Musabek | Hospitalist | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2011-06-26 |
| 1669790879 | Hospital Medicine Physicians of Rhode Island PC | Hospitalist | 200 High Service Ave, North Providence, RI 02904-5113 | 2010-05-12 |
| 1063441640 | Memorial Hospital | Hospitalist | 111 Brewster St, Pawtucket, RI 02860-4400 | 2006-07-03 |
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.