BRAD ELG (NPI# 1710427422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710427422 |
| Entity Type | Individual |
| Full Name | BRAD ELG |
| Practice Address |
641 E 25th Pl Yuma AZ 85365-2701 |
| Practice Telephone | 9284468352 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 31051 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
641 E 25TH PL |
| City | YUMA |
| State | AZ |
| Zip Code | 85365-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369730 | Green Mountain Wellness | Acupuncturist | 1059 N College Avenue, Po, Thatcher, AZ 85365 | 2020-09-03 |
| 1326695545 | Lifecare Pharmacy Yuma LLC | Pharmacy | 2514 South Ave A, Suite 2, Yuma, AZ 85365 | 2019-08-22 |
| 1205492162 | Deborah Woodard-williams | Dentist | Arizona State Prison Complex-yuma, 7125 Juan Sanchez Blvd, Yuma, AZ 85365 | 2019-05-16 |
| 1467973974 | Alejandra Ruiz Pureco | Specialist/Technologist | 4039 Scedar Avenue, Yuma, AZ 85365 | 2017-07-06 |
| 1003298571 | Evan Jonathan Wilson | Military Health Care Provider | 2989 East Arow St, Yuma, AZ 85365 | 2015-06-22 |
| 1578901385 | Robert Field | General Practice | Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 | 2013-06-13 |
| 1821381286 | Jason T. Lemmon Dds, P.C. | Dentist | 3325 S. Ave 8.e., Suite 4, Yuma, AZ 85365 | 2011-05-18 |
| 1821328113 | Community Bridges, Inc | Community/Behavioral Health | 3250 B East 40th Street, Yuma, AZ 85365 | 2010-01-08 |
| 1871752352 | Jason Thomas Lemmon | Dentist | 3325 S. Ave 8e, Suite 4, Yuma, AZ 85365 | 2008-06-09 |
| 1619149143 | Amber Grace Tagg | Occupational Therapist | 10067 South Ave., 10e #46, Yuma, AZ 85365 | 2008-03-25 |
| Find all providers in zip 85365 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974026 | Scottsdale Healthcare Corp | Radiologic Technologist | 20745 N Scottsdale Rd Ste 100, Scottsdale, AZ 85255-6453 | 2020-02-20 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| 1164961355 | Kathleen Brown | Radiologic Technologist | 14226 Calabasas Road, Yucca, AZ 86438 | 2017-02-21 |
| 1124490693 | Therdo Brooks IIi | Radiologic Technologist | 14450 W Avalon Dr, Goodyear, AZ 85395-8315 | 2015-10-23 |
| 1497164388 | Michael Maestas | Radiologic Technologist | 4291 N Campbell Ave, Tucson, AZ 85719 | 2014-08-05 |
| 1679991749 | Heather Ann Lemons | Radiologic Technologist | 167 Noth Main Street, Tuba City, AZ 86045-0600 | 2014-04-04 |
| 1386926798 | Ben S Stehower | Radiologic Technologist | 805 Whipple St Ste A, Prescott, AZ 86301-1617 | 2011-09-12 |
| 1851607675 | Sheila Diane Andrea | Radiologic Technologist | 11405 N Crestview St., Flagstaff, AZ 86004-5215 | 2010-08-31 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| 1891010807 | Marjorie Chinnock | Radiologic Technologist | M.p. 388 State Route 264, Polacca, AZ 86042-4000 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRAD ELG.
| 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.