GEORGE R BRADBURY III (NPI# 1629054861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629054861 |
| Entity Type | Individual |
| Full Name | GEORGE R BRADBURY III |
| Credential | MD |
| Practice Address |
6567 E Carondelet Dr Suite 415 Tucson AZ 85710-6152 |
| Practice Telephone | 5208856701 |
| Practice Fax Number | 5208859037 |
| Mailing Telephone | 5208856701 |
| Mailing Fax Number | 5208859037 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 19024 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
19024 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
6567 E CARONDELET DR SUITE 415 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85710-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902800 | Fraser Richards | Specialist | 6567 E Carondelet Dr, Ste 225, Tucson, AZ 85710-6152 | 2005-06-16 |
| 1225490683 | Alisha Severson | Audiologist | 6567 E Carondelet Dr, Tucson, AZ 85710-6152 | 2016-03-24 |
| 1386002350 | Wren Winston | Nurse Practitioner | 6567 E Carondelet Dr, Ste 215, Tucson, AZ 85710-6152 | 2016-02-05 |
| 1457733206 | Sarah Laszok | Audiologist | 6567 E Carondelet Dr, Suite 515, Tucson, AZ 85710-6152 | 2015-06-28 |
| 1174941439 | Timothy Hoskins Obgyn | Obstetrics & Gynecology | 6567 E Carondelet Dr, Suite 445, Tucson, AZ 85710-6152 | 2014-04-03 |
| 1689003956 | Ashley Nicole Ryan | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-11-06 |
| 1306274790 | Western Neurosurgery. Ltd. | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2013-10-22 |
| 1538405386 | Chelsea Mcnally | Physician Assistant | 6567 E Carondelet Dr, Suite 305, Tucson, AZ 85710-6152 | 2012-12-26 |
| 1447527817 | Sitara Kommareddi Md Pllc | Surgery | 6567 E Carondelet Dr, Suite 435, Tucson, AZ 85710-6152 | 2011-11-29 |
| 1205167277 | Timothy J Knoll | Physician Assistant | 6567 E Carondelet Dr, Suite 415, Tucson, AZ 85710-6152 | 2010-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220691 | Elidia Beas Newbold | Technician | 9122 E. Calle Maria, Tuscon, AZ 85710 | 2019-08-15 |
| 1669934014 | Pain Institute of Southern Arizona (pisa), PC | Pain Medicine | 7140 E Rosewood Street, Suite 110, Tucson, AZ 85710 | 2019-04-04 |
| 1316438351 | Life Aligned Regenerative Medical Center LLC | General Practice | 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 | 2018-05-25 |
| 1497264253 | Beverly Capili | Nurse Practitioner | 6622 East Carondelet Drive, Tucson, AZ 85710 | 2017-09-25 |
| 1629590120 | Linsey Nicole Tomaro | Physician Assistant | 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 | 2017-07-17 |
| 1750803748 | Christopher Sullivan | Podiatrist | 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 | 2017-07-11 |
| 1346762713 | Friday Sika | Respite Care | 8251 E. Kenyon Dr., Tucson, AZ 85710 | 2017-07-07 |
| 1821536228 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 | 2017-02-06 |
| 1659727816 | Mwangaza Residential Care LLC | Community Based Residential Treatment Facility, Mental Illness | 8421 E. Colette St, Tucson, AZ 85710 | 2016-05-06 |
| 1124494240 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 921 S Prudence Rd, Tucson, AZ 85710 | 2015-08-12 |
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| 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 |
|---|---|---|---|---|
| 1275821167 | Preston J Smith | Orthopaedic Surgery | 630 N Alvernon Way Ste 351, Tucson, AZ 85711-1838 | 2011-07-13 |
| 1518174515 | Brett Ledon Haywood | Orthopaedic Surgery | 7520 N Oracle Rd, Ste 200, Tucson, AZ 85704-4448 | 2007-05-17 |
| 1356669485 | Bradley Paul Norris | Orthopaedic Surgery | 395 N Silverbell Rd Ste 101, Tucson, AZ 85745 | 2010-05-13 |
| 1881790723 | Jon Kenneth Nisbet | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-09-16 |
| 1447218425 | Ty Howard Endean | Orthopaedic Surgery | 1622 N Swan Rd, Tucson, AZ 85712-4047 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420126 | Joint Regenerative LLC | Orthopaedic Surgery | 4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360 | 2019-01-04 |
| 1568811644 | Mullen Orthopedic Clinic Plc | Orthopaedic Surgery | 4852 E Baseline Rd Ste 107, Mesa, AZ 85206-4628 | 2016-06-08 |
| 1427175777 | Canyon Vista Bone & Joint Surgery, P.C. | Orthopaedic Surgery | 3941 E. Baseline Road #102, Gilbert, AZ 85234 | 2007-03-23 |
| 1508980582 | Scott Joseph Ellis | Orthopaedic Surgery | 726 N Greenfield Rd Ste 108, Gilbert, AZ 85234-5062 | 2007-03-16 |
| 1386693976 | Lance Winter | Orthopaedic Surgery | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3003 | 2006-05-09 |
| 1962467324 | Carl Dain Allred | Orthopaedic Surgery | 10238 E Hampton Ave Ste 301a, Mesa, AZ 85209 | 2006-04-19 |
| 1619957008 | Craig Hollis Weinstein | Orthopaedic Surgery | 3487 S Mercy Rd, Gilbert, AZ 85297-0430 | 2006-01-20 |
| 1326030909 | Jeffrey Sheldon Levine | Orthopaedic Surgery | 1056 S Val Vista Dr, Suite #2, Mesa, AZ 85204-5667 | 2005-08-18 |
| 1497751283 | Douglas Freedberg | Orthopaedic Surgery | 8630 E Via De Ventura, Ste 201, Scottsdale, AZ 85258-3326 | 2005-06-26 |
| 1467454702 | Yuri Lewicky | Orthopaedic Surgery | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2005-06-01 |
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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.