BRADLEY HENRIE (NPI# 1609396118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609396118 |
| Entity Type | Individual |
| Full Name | BRADLEY HENRIE |
| Credential | MD |
| Practice Address |
400 Harborside Galveston TX 77555-1120 |
| Mailing Address |
301 University Blvd Galveston TX 77555-1120 |
| Practice Telephone | (409) 772-2166 |
| Practice Fax Number | 4097722663 |
| Mailing Telephone | 4097722166 |
| Mailing Fax Number | 4097722663 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | BP10060854 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 47071 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
400 HARBORSIDE |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801964531 | Debra A Kimmey | Physician Assistant | 400 Harborside, Galveston, TX 77555-0001 | 2006-12-01 |
| 1053807768 | Stacy Janices Aguirre | Nurse Practitioner | 400 Harborside, Galveston, TX 77550 | 2018-07-05 |
| 1467512186 | Colleen L Harrison | Nurse Practitioner | 400 Harborside, Pcp Suite 105, Galveston, TX 77555-0001 | 2006-12-11 |
| 1417025172 | Christopeher G Mast | Family Medicine | 400 Harborside, Galveston, TX 77555-0001 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1174144216 | Mariam Choudhry Khan | Family Medicine | 301 University Blvd, Galveston, TX 77555 | 2020-04-29 |
| 1437713633 | Renae Bridges | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555 | 2019-04-24 |
| Find all providers in zip 77555 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811346828 | Ali Charif | Family Medicine | 301 University Blvd Galveston Tx 77555 1395, Galveston, TX 77555-1395 | 2016-06-09 |
| 1962857854 | Marcqwon Travon Montego Daywalker | Family Medicine | 1400 Bayou Shore Dr Apt 306, Galveston, TX 77551-4395 | 2016-04-28 |
| 1649617085 | Aic Primary Care Pllc | Family Medicine | 2808 61st St, Suite 200, Galveston, TX 77551 | 2013-05-24 |
| 1639346133 | Lisset Parets-rodriguez | Family Medicine | Utmb Faculty Group Practice, 301 University Blvd, Galveston, TX 77555-0001 | 2008-05-14 |
| 1790883965 | Sungmi Lian | Family Medicine | 301 Univesity Blvd, Galveston, TX 77555-5302 | 2006-09-20 |
| 1811962368 | Sean A Hollonbeck | Family Medicine | 1615 Winnie St, # 1, Galveston, TX 77550-4848 | 2006-02-20 |
| 1326027392 | Carlos M Quinones | Family Medicine | 1 Ferry Rd, Galveston, TX 77550-3185 | 2006-01-10 |
| 1639170202 | Susan Kay Easley | Family Medicine | 2027 61st St, West Isle Urgent Care, Galveston, TX 77561 | 2005-08-04 |
| 1235748633 | Youlanda Martin-jones | Family Medicine | 301 University Blvd, Galveston, TX 77555-5302 | 2020-07-31 |
| 1386261204 | Prava Karki | Family Medicine | 400 Harborside Drive, Galveston, TX 77555-1120 | 2020-06-26 |
| Find all providers in GALVESTON | ||||
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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.