MR. HENRY LEE BRADBURY III


Address: 15585 Ne 24th St, Bellevue, WA 98007-3836
Phone: 8882273312

MR. HENRY LEE BRADBURY III (NPI# 1609842871) 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) 1609842871
Entity Type Individual
Full Name MR. HENRY LEE BRADBURY III
Credential PA-C, MPAS
Practice Address 15585 Ne 24th St
Bellevue
WA 98007-3836
Mailing Address Po Box 25608
Salt Lake City
UT 84125-0608
Practice Telephone 8882273312
Mailing Telephone 2063204476
Mailing Fax Number 2065687043
Enumeration Date 2006-02-27
Last Update Date 2016-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60623848 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15585 NE 24TH ST
City BELLEVUE
State WA
Zip Code 98007-3836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831176395 Anthony Aaron Meador Physician Assistant 15585 Ne 24th St, Bellevue, WA 98007-3836 2005-12-27
1427661107 Ryan Lenz Pharmacist 15585 Ne 24th St, Bellevue, WA 98007-3836 2020-08-24
1417507856 Theresa Huong Hoai Nguyen Pharmacist 15585 Ne 24th St, Bellevue, WA 98007-3836 2019-09-18
1750837548 John-paul Denham Registered Nurse 15585 Ne 24th St, Bellevue, WA 98007 2016-08-31
1043663446 Thomas Chan Nurse Practitioner 15585 Ne 24th St, Bellevue, WA 98007 2016-07-20
1639542921 Erin Brown Nurse Practitioner 15585 Ne 24th St, Bellevue, WA 98007-3836 2015-11-09
1811365331 Samson Chiang Pharmacist 15585 Ne 24th St, Bellevue, WA 98007-3836 2015-09-15
1063806479 Darren Freeman Nurse Practitioner 15585 Ne 24th St, Bellevue, WA 98007-3836 2015-03-24
1417359415 Cole Simon Kozloff Physician Assistant 15585 Ne 24th St, Bellevue, WA 98007-3836 2014-09-22
1346640588 Phoebe N'gonga Chitila Nurse Practitioner 15585 Ne 24th St, Bellevue, WA 98007-3836 2014-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982204947 Janet Delgado Interpreter 3000 Landerholm Cir Se, Bellevue, WA 98007 2020-10-29
1467092643 Stephanie Schaal Counselor 15395 Se 30th Place Ste 120, Bellevue, WA 98007 2020-01-15
1740824358 Alison Elizabeth Campbell Massage Therapist 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 2019-11-06
1275188021 Pacific Coast Health Care, Pllc Internal Medicine Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 2019-08-08
1417475054 Terasak Roeksbutr Dietitian, Registered 109 146th Ave Se, Bellevue, WA 98007 2017-09-04
1083130934 Po-lung Wu Acupuncturist 693 156th Ave Se, Bellevue, WA 98007 2017-08-22
1689117319 Audrey K. Tatt D.d.s. P.l.l.c. Dentist 15419 Ne 20th St. #206, Bellevue, WA 98007 2016-11-29
1952751836 Mona Ebrahimi Student in an Organized Health Care Education/Training Program 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 2016-06-21
1578939302 Walgreen Student in an Organized Health Care Education/Training Program 15220 156th Ne, Bellevue, WA 98007 2015-08-17
1750767406 Anar Veliyev Physical Therapist 14828 Ne 12th St, Bellevue, WA 98007 2015-08-05
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538557442 Mariam Abdelghany I Physician Assistant 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 2014-12-30
1174899017 Amber Tario Gudas Physician Assistant 1414 116th Ave Ne Ste E, Bellevue, WA 98004-3801 2012-03-26
1003103565 Stefany Jeneifer Cameron Physician Assistant 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 2011-07-06
1770746505 Erik H Suh Md Ps Physician Assistant 2100 116th Ave Ne, Bellevue, WA 98004 2008-07-02
1700099736 Michelle M Berlin Physician Assistant 2206 Longo Dr Ste 107, Bellevue, NE 68005-2977 2007-05-07
1164569315 Kristeen Lee Budreau Physician Assistant 6639 161st Ave Se, Unit B, Bellevue, WA 98006-5687 2007-01-30
1013012491 Joseph A. Stangl Physician Assistant 3802 Raynor Pkwy, Bellevue, NE 68123-6048 2006-09-13
1528088952 Patricia L Lightfoot Physician Assistant 1135 116th Ave Ne Ste 560, Bellevue, WA 98004-4631 2006-07-20
1831176395 Anthony Aaron Meador Physician Assistant 15585 Ne 24th St, Bellevue, WA 98007-3836 2005-12-27
1255338166 Earl R Thompson Physician Assistant 3308 Samson Way, Bellevue, NE 68123-3234 2005-07-07
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Competitor

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City BELLEVUE
Zip Code 98007

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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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