DR. DOUGLAS DAMIEN BRADLEY (NPI# 1740280148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740280148 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS DAMIEN BRADLEY |
| Credential | M.D. |
| Practice Address |
700 Rahway Ave Union NJ 07083-6634 |
| Practice Telephone | 9086881999 |
| Practice Fax Number | 9086888180 |
| Mailing Telephone | 9086881999 |
| Mailing Fax Number | 9086888180 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MANJ049904 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0459801 | 05 | |
| NJ | TAX ID # | 223537990 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518317981 | Douglas Bradley | Massage Therapist | 1500 Airport Rd Ste 5, Kalispell, MT 59901-5748 | 2016-06-16 |
| 1720254246 | Douglas Bradley | Counselor | 26 Covert St Apt 3r, Brooklyn, NY 11207-1071 | 2008-05-05 |
| 1033303862 | Douglas Bradley | Physical Therapist | 313 N Weber Rd, Bolingbrook, IL 60490-1569 | 2007-09-05 |
| 1306829114 | Douglas D Bradley | Specialist | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-25 |
| 1689669301 | Douglas L Bradley | Family Medicine | 17067 S Outer Rd, Suite 100, Belton, MO 64012-2165 | 2005-09-19 |
| Street Address |
700 RAHWAY AVE |
| City | UNION |
| State | NJ |
| Zip Code | 07083-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513545 | Marvin Elliott Friedlander | Neurological Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2005-07-27 |
| 1447878293 | Spine and Pain Consultant, Pllc | Pain Medicine | 700 Rahway Ave, Union, NJ 07083-6634 | 2020-07-08 |
| 1609494434 | Specialty Anesthesia, Pllc | Anesthesiology | 700 Rahway Ave, Union, NJ 07083-6634 | 2020-07-08 |
| 1376836148 | Advanced Spine Care Physical Therapy | Specialist | 700 Rahway Ave, 1st Floor, Union, NJ 07083-6634 | 2011-05-26 |
| 1093028987 | Stephanie Calefati | Physical Therapist | 700 Rahway Ave, Union, NJ 07083-6634 | 2010-07-20 |
| 1992024095 | Laparoscopic Edge, PC | Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2010-05-28 |
| 1689813362 | Kelly Anne Lease | Physical Therapist | 700 Rahway Ave, Union, NJ 07083-6634 | 2009-02-19 |
| 1013162858 | Martine Mariealice Louis | Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2008-11-20 |
| 1043475643 | Glenn Joseph Forrester | Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2008-07-23 |
| 1053570051 | Elissa Anne Betar | Dietitian, Registered | 700 Rahway Ave, Union, NJ 07083-6634 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 1164983268 | Gbolahan O. Okubadejo, M.d PC | Orthopaedic Surgery | 32 Marquis Ct, Edgewater, NJ 07020-2900 | 2019-03-29 |
| 1033614409 | Atherton Medical PC | Orthopaedic Surgery | 33 Park View Ave Apt 1105, Jersey City, NJ 07302-8306 | 2018-03-28 |
| 1821480245 | Heidi Martin Hullinger Md, PC | Orthopaedic Surgery | 33 Overlook Rd Ste 305, Summit, NJ 07901-3563 | 2015-02-22 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1265754832 | Specialized Spine Surgery | Orthopaedic Surgery | 835 Chanticleer Drive, Cherry Hill, NJ 08003-4813 | 2010-02-23 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| 1588841225 | Dr Roland Johnkins | Orthopaedic Surgery | 24 Mare Haven Ct, North Brunswick, NJ 08902-4847 | 2008-01-24 |
| 1497947022 | Gbolahan Olawole Okubadejo | Orthopaedic Surgery | 25 Rockwood Pl Ste 335, Englewood, NJ 07631-4959 | 2007-08-17 |
| 1578765244 | Joshua Seth Rovner | Orthopaedic Surgery | 440 Curry Ave Ste A, Englewood, NJ 07631-1794 | 2007-06-04 |
| 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.