BRADFORD PLACE SURGERY AND LASER CENTER LLC


Address: 1531 E Bradford Pkwy, Ste 120, Springfield, MO 65804-6539
Phone: 4178863900

BRADFORD PLACE SURGERY AND LASER CENTER LLC (NPI# 1588667208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588667208
Entity Type Organization
Organization Name BRADFORD PLACE SURGERY AND LASER CENTER LLC
Practice Address 1531 E Bradford Pkwy
Ste 120
Springfield
MO 65804-6539
Practice Telephone 4178863900
Practice Fax Number 4178860094
Mailing Telephone 4178863900
Mailing Fax Number 4178860094
Enumeration Date 2005-05-27
Last Update Date 2020-03-10
Authorized Official Name MR. RICHARD C WORLEY (ASC DIRECTOR)
Authorized Official Telephone 4178863900
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
118.6 MO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 506002104 05

Office Location

Street Address 1531 E BRADFORD PKWY
STE 120
City SPRINGFIELD
State MO
Zip Code 65804-6539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114292919 Kimberly Ann Ramacciotti Counselor 1531 E Bradford Pkwy, Suite 304, Springfield, MO 65804-6566 2012-03-13
1184915472 Creative Renewal & Resolutions, LLC Psychologist 1531 E Bradford Pkwy, Ste 210-4, Springfield, MO 65804-6566 2011-04-21
1033427810 Renae Marie Courtney Psychologist 1531 E Bradford Pkwy, Suite 304, Springfield, MO 65804-6566 2010-09-15
1760793483 Diderika M Telting Speech-Language Pathologist 1531 E Bradford Pkwy, Suite 205, Springfield, MO 65804-6853 2010-06-28
1336300466 Reynolds Plastic Surgery LLC Specialist 1531 E Bradford Pkwy, Suite 215, Springfield, MO 65804-6566 2008-06-20
1801097951 N Eugene Morrow Md LLC Dermatology 1531 E Bradford Pkwy, Suite 215, Springfield, MO 65804-6539 2007-05-29
1144277252 Missouri Eye Institute LLC Optometrist 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 2006-05-27
1568433886 Kathleen F Lemon Psychologist 1531 E Bradford Pkwy, Ste 210-1, Springfield, MO 65804-6856 2006-01-27
1184695496 Ginger A Holczer Psychologist 1531 E Bradford Pkwy, Suite 202, Springfield, MO 65804-6566 2006-01-27
1093701211 Daniel R Osborn Ophthalmology 1531 E Bradford Pkwy, Suite 100, Springfield, MO 65804-6566 2005-09-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1306498779 Anne B Summers, LLC Social Worker 1310 E. Kingsley St., Ste C, Springfield, MO 65804 2019-07-15
1790241800 Margaret Mary Hart Social Worker 1845 S Rogers Ave, Springfield, MO 65804 2019-02-13
1598254666 Casey Carr Optometrist 1229 E Seminole St Ste 110, Springfield, MO 65804 2018-05-04
1124520697 Shelby D White Behavioral Analyst 1300 E. Bradford Parkway, Springfield, MO 65804 2018-03-01
1316448343 Karl Lynham Massage Therapist 1200 E Woodhurst Dr R300, Springfield, MO 65804 2018-02-25
1699273763 Leah Wilson Counselor 1322 E Woodgate, Springfield, MO 65804 2018-01-24
1295242626 Matthew Crisp Physical Therapist 3252 E Independence St, Springfield, MO 65804 2018-01-08
1518491042 Crystal Spangler Dietitian, Registered 1965 S Fremont Ave Ste 220, Springfield, MO 65804 2017-04-11
1588012033 Jeffrey Williams Pharmacist 1235 E. Cherokee, Springfield, MO 65804 2016-05-25
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225174089 Arnold Surgery Center Clinic/Center 1011 E Montclair St, Springfield, MO 65807-5075 2007-01-29
1912963810 Springfield Surgery Center Lp Clinic/Center 2685 E High St, Springfield, OH 45505-1412 2006-04-21
1073588448 Surgery Center of Springfield Clinic/Center 1350 E Woodhurst Dr, Springfield, MO 65804-4281 2006-02-21
1760457204 Orthopaedic Surgery Center of Illinois, LLC Clinic/Center 3136 Old Jacksonville Rd, Suite 250, Springfield, IL 62704-6487 2006-02-20
1427028919 Cascade Endoscopy Center, LLC Clinic/Center 1007 Harlow Road, Suite 110, Springfield, OR 97477 2006-01-25
1205810553 Orthopaedic Asc of Springfield LLC Clinic/Center 3045 S National Ave, Suite 101, Springfield, MO 65804-4247 2005-11-30
1578551594 Mercy Surgery Center, Ltd Clinic/Center 2610 N Limestone St, Springfield, OH 45503-1114 2005-10-13
1366449910 Oregon Endoscopy Center, LLC Clinic/Center 3355 Riverbend Dr, Suite 510, Springfield, OR 97477-8800 2005-06-28
1295738375 Oregon Surgicenter LLC Clinic/Center 2400 Hartman Ln, Ste 300, Springfield, OR 97477-1198 2005-05-23
1518300102 Springfield Surgery Center, LLC Clinic/Center 105 Morris Ave, 1st Floor, Springfield, NJ 07081-1395 2013-04-12
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Competitor

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City SPRINGFIELD
Zip Code 65804

Improve Information

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Dataset Information

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.

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