BRADFORD SCHOFIELD TUCKER (NPI# 1598871162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598871162 |
| Entity Type | Individual |
| Full Name | BRADFORD SCHOFIELD TUCKER |
| Credential | MD |
| Practice Address |
2500 English Creek Ave Building 1300 Egg Harbor Township NJ 08234-5549 |
| Mailing Address |
833 Chestnut St Suite 1402 Philadelphia PA 19107-4414 |
| Practice Telephone | 6096776060 |
| Practice Fax Number | 6096776061 |
| Mailing Telephone | 8003219999 |
| Mailing Fax Number | 2673393761 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 25MA06863800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MA06863800 | NJ | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD432593 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | IBC | 2220116000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942303813 | Bradford Garrison Tucker | Dentist | 801 Crescent Way, Suite 2, Arcata, CA 95521-6780 | 2006-09-06 |
| Street Address |
2500 ENGLISH CREEK AVE BUILDING 1300 |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-5549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325686 | Gabriele Cuna | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2020-01-08 |
| 1952940686 | Phillip Carlyle Cobrand | Advanced Practice Midwife | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-12-28 |
| 1932745759 | Susan M Federico | Obstetrics & Gynecology | 2500 English Creek Ave, Suite 604, Egg Harbor Township, NJ 08234 | 2019-11-27 |
| 1891350880 | Jennifer Lynn O'donnell | Nurse Practitioner | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-05-05 |
| 1992369458 | Dimyana Ata | Physician Assistant | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-04-30 |
| 1174099675 | Christine Angela Droney | Social Worker | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2018-10-23 |
| 1043741663 | Jersey Shore Gastoenterology | Non-Pharmacy Dispensing Site | 2500 English Creek Ave, Suite 903, Egg Harbor Township, NJ 08234-5549 | 2017-03-24 |
| 1588017255 | Ciara Nicole Beck | Dietitian, Registered | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2016-07-19 |
| 1326401373 | Nicole Carone | Physician Assistant | 2500 English Creek Ave, Building 800, Egg Harbor Township, NJ 08234-5549 | 2016-03-29 |
| 1194199265 | Leah Ann Ricciardi | Nurse Practitioner | 2500 English Creek Ave, Bld. 200. Suite 214, Egg Harbor Township, NJ 08234-5549 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740396316 | John C Baker | Orthopaedic Surgery | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2006-08-23 |
| 1083653398 | Matthew David Pepe | Orthopaedic Surgery | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
| 1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
| 1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
| 1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
| 1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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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.