WILLIAM W. BRADLEY, M.D., P.C. (NPI# 1619298809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619298809 |
| Entity Type | Organization |
| Organization Name | WILLIAM W. BRADLEY, M.D., P.C. |
| Practice Address |
120 N Rollins St Centralia MO 65240-1327 |
| Practice Telephone | 5736822101 |
| Practice Fax Number | 5736822496 |
| Mailing Telephone | 5736822101 |
| Mailing Fax Number | 5736822496 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | DR. WILLIAM W BRADLEY (PRESIDENT) |
| Authorized Official Telephone | 5736822101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200178903 | 05 |
| Street Address |
120 N ROLLINS ST |
| City | CENTRALIA |
| State | MO |
| Zip Code | 65240-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902146442 | Sarah Elizabeth Hall | Counselor | 318 W Barnes St, Centralia, MO 65240 | 2013-02-20 |
| 1528265725 | Paulus E Lawson Jr. | Dentist | 120 North Allen Street, Centralia, MO 65240 | 2007-06-29 |
| 1245348572 | Lori Carol Brown | Chiropractor | 201 W Switzler Street, Suite 1, Centralia, MO 65240 | 2006-08-27 |
| 1790126399 | Andrea Young Willer | Nurse Practitioner | 1021 E Highway 22, Centralia, MO 65240 | 2013-07-11 |
| 1770637332 | Brown Chiropractic Wellness Center | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2007-01-22 |
| 1962881136 | Lezlie David | Massage Therapist | 201 W Switzler St, Ste. #1, Centralia, MO 65240-1035 | 2015-05-21 |
| 1457687386 | Brown Chiropractic Wellness Center & Spa, LLC | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2009-10-28 |
| 1356675672 | Melanie Dawn Miller Morgret | Massage Therapist | 201 W Switzler St, Centralia, MO 65240-1035 | 2009-09-21 |
| 1518139542 | Mary Beth Gehringer | Massage Therapist | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2008-03-31 |
| 1154328953 | Health Services Administration, Inc | Skilled Nursing Facility | 750 E Highway 22, Centralia, MO 65240-1146 | 2005-07-07 |
| Find all providers in zip 65240 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063597 | Elizabeth A Armstrong | General Practice | 110 W Sneed St, Centralia, MO 65240-1375 | 2005-12-14 |
| 1912916248 | Audrain Health Care, Inc. | General Practice | 110 W Sneed St, Centralia, MO 65240-1375 | 2006-08-05 |
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| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
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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.