DJENABA TENE BRADFORD-KENNEDY (NPI# 1649258245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649258245 |
| Entity Type | Individual |
| Full Name | DJENABA TENE BRADFORD-KENNEDY |
| Credential | MD |
| Practice Address |
1601 Brenner Ave Salisbury NC 28144-2515 |
| Mailing Address |
18904 Peninsula Point Dr Cornelius NC 28031-7598 |
| Practice Telephone | 7046389000 |
| Mailing Telephone | 7046389000 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
NC | Allopathic & Osteopathic Physicians | |
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
NC | Allopathic & Osteopathic Physicians | |
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
NC | Allopathic & Osteopathic Physicians | |
| X | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
NC | Allopathic & Osteopathic Physicians | |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NC | Allopathic & Osteopathic Physicians | |
| X | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
NC | Allopathic & Osteopathic Physicians | |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
NC | Allopathic & Osteopathic Physicians |
| Street Address |
1601 BRENNER AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953423 | Benjamin W Reese | Family Medicine | 1601 Brenner Ave, 11a W.g. Bill Hefner Medical Center, Salisbury, NC 28144 | 2005-06-23 |
| 1508467028 | Nicolas Hunter Johnson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-11-02 |
| 1174123558 | Demarcus Swain Steele | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-27 |
| 1053911578 | Michelle Wilson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1750980231 | Airington Tribble | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1467051946 | Whitney Mickens | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1134728611 | Matthew Agner | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1225637804 | Jackie Meggett | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1831798578 | Brittany Plummer | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1184223810 | Aleashia H Brandon | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359707 | Peninsula Imaging L.L.C. | Radiology | 1655 Woodbrooke Dr, Suite 101, Salisbury, MD 21804-8502 | 2006-05-02 |
| 1740251586 | Wayne Brown Wooten | Radiology | 6 Pine Tree Rd, Salisbury, NC 28144-6912 | 2006-01-30 |
| 1467462093 | Alexander Joseph Zito | Radiology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-08-08 |
| 1568486835 | Mario Todorov Todorov | Radiology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-07-27 |
| 1265470199 | Gerard Joseph Hogan | Radiology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-06-03 |
| 1639125537 | Philip Conrad Hugo IIi | Radiology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-05-25 |
| 1336197151 | Michael Terrence Czuba | Radiology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-05-04 |
| 1699733527 | Delmarva Radiology P.a. | Radiology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-05-02 |
| 1912969692 | Naomi Unterreiner | Radiology | 1601 Brenner Ave, Imaging Department, Salisbury, NC 28144-2515 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487248 | Mission Community Anesthesiology Specialists LLC | Radiology | 534 Biltmore Ave Ste 110, Asheville, NC 28801-4607 | 2018-11-30 |
| 1780781799 | David Andrew Pacholke | Radiology | 5654 Fox Glen Trl, Lewisville, NC 27023-9636 | 2006-09-20 |
| 1023026846 | Gregory W Doyle | Radiology | 2509 Richardson Drive, Suite A, Reidsville, NC 27320 | 2006-08-04 |
| 1124060678 | Southeastern Overread Services, Pllc | Radiology | 3723 W Market St, Suite A, Greensboro, NC 27403-1590 | 2006-06-11 |
| 1669420832 | Michael Sylvan Broder | Radiology | 908 Huntsford Ter, Thomasville, NC 27360-2506 | 2006-05-04 |
| 1215990171 | Eastern Radiologist, Inc | Radiology | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 | 2006-04-10 |
| 1245215011 | John Parks Booker | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2005-12-14 |
| 1194709154 | Scott T Steffen | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2005-12-02 |
| 1356340541 | Lance Lee Arnder | Radiology | 2700 Medical Office Pl, Goldsboro, NC 27534-9460 | 2005-07-19 |
| 1629559000 | Janardhana Ponnatapura Satyanarayana | Radiology | Wake Forest Baptist Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-08-23 |
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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.