DR. BRADLEY KENT PITTMAN (NPI# 1740357524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740357524 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY KENT PITTMAN |
| Credential | M.D. |
| Practice Address |
1807 W Slaughter Ln Ste 490 Austin TX 78748-6208 |
| Mailing Address |
6210 E Us Hwy 290 Suite 420 - Credentialing Austin TX 78723 |
| Practice Telephone | 5122828967 |
| Practice Fax Number | 5124067351 |
| Mailing Telephone | 5123383826 |
| Mailing Fax Number | 5124066216 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P4369 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD067878L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 307463502 | 05 | |
| TX | 307463503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 W Ben White Blvd, Suite B100, Austin, TX 787047192 | 8778005722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437394798 | Bradley K. Pittman | Chiropractor | 14407 Jasmine Terrace Ln, Houston, TX 77047-2980 | 2008-12-15 |
| 1164609046 | Bradley Dale Pittman | Internal Medicine | Ne Hwy 60, Selling, OK 73663 | 2008-01-23 |
| 1205990314 | Bradley Pittman | Dentist | 205 E 2nd St, Defiance, OH 43512-2248 | 2006-12-21 |
| Street Address |
1807 W SLAUGHTER LN STE 490 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78748-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727410 | Jason Dean Johnson | Family Medicine | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2005-08-16 |
| 1619355476 | Jeffrey Champ | Family Medicine | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2015-05-13 |
| 1710364807 | Ashleigh Kay Wisser | Physician Assistant | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2015-04-28 |
| 1215344676 | Nitika Soni | Pediatrics | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2014-07-17 |
| 1588075899 | Caroline Ann Camosy | Pediatrics | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2014-05-09 |
| 1619213691 | Jennifer Acosta | Physician Assistant | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2012-12-20 |
| 1467747741 | Yesica Chapa-sobremonte | Family Medicine | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2011-06-14 |
| 1619289949 | Anthony Yen-shen Chen | Family Medicine | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2010-07-01 |
| 1295053643 | Geshia Austin | Pediatrics | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2010-05-10 |
| 1013176197 | Cynthia Mathai | Pediatrics | 1807 W Slaughter Ln Ste 490, Austin, TX 78748-6208 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090395 | Dejuan Lewis | Specialist/Technologist | 11301 Farrah Lane, Apt 837, Austin, TX 78748 | 2018-07-20 |
| 1588153340 | Zoe Finch Cameron | Registered Nurse | 906 Kavanagh Dr, Austin, TX 78748 | 2018-05-08 |
| 1194231753 | Embark Home Care | In Home Supportive Care | 2316 Christoff Loop, Austin, TX 78748 | 2017-12-19 |
| 1952815854 | Swish Dental Brodie PC | Clinic/Center | 8916 Brodie Ln, Suite 400, Austin, TX 78748 | 2017-11-30 |
| 1700332921 | National Vision, Inc. | Technician/Technologist | 9500 I-35, Suite J-100, Austin, TX 78748 | 2016-08-28 |
| 1770036212 | Van-anh Huynh | Optometrist | 9500 Interstate 35, Suite J-100, Austin, TX 78748 | 2016-08-02 |
| 1275907263 | Paul Abram Shrogin | Chiropractor | 9701 Brodie Ln Ste 202, Austin, TX 78748 | 2015-11-14 |
| 1790161743 | Matthew Graham Margrett | Pharmacist | 9500 S Ih 35 Frontage Rd, Austin, TX 78748 | 2015-07-31 |
| 1528443660 | Austin Five Star Er, P.a. | Emergency Medicine | 8721 Manchaca Road, Austin, TX 78748 | 2015-07-29 |
| 1710362983 | 512 Eye, Pllc | Optometrist | 11200 Manchaca Road, Building 4 Suite 2, Austin, TX 78748 | 2015-07-29 |
| Find all providers in zip 78748 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.