DR. BRADLEY WAYNE LORD (NPI# 1770687717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770687717 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY WAYNE LORD |
| Other Name | DR. BRAD WAYNE LORD |
| Credential | PSYD MS LMHC CAP |
| Practice Address |
113 Cavalier Dr Pensacola FL 32507-2101 |
| Practice Telephone | 8505166887 |
| Mailing Telephone | 8505166887 |
| Mailing Fax Number | 8504586112 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MH8489 | FL | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAP 2585 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH8489 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
MH8489 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245430602 | Bradley Wade Lord | Nurse Anesthetist, Certified Registered | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2007-07-23 |
| Street Address |
113 CAVALIER DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796418 | Sherl Diane Craft | Counselor | 822 Lavon Dr, Pensacola, FL 32506-5689 | 2020-09-28 |
| 1730797234 | Danielle Kramer | Counselor | 10080 Rookery Rd, Pensacola, FL 32507-7205 | 2020-07-21 |
| 1154947612 | Michele Manassah | Counselor | 1600 Governors Dr Apt 1021, Pensacola, FL 32514-9439 | 2020-06-21 |
| 1386263465 | Dannielle Taylor | Counselor | 1602 Governors Dr Apt 2716, Pensacola, FL 32514-9441 | 2020-04-09 |
| 1083243026 | Margaret Eula Thompson Carr | Counselor | 7705 Le Jeune Dr, Pensacola, FL 32514-6530 | 2020-04-02 |
| 1720612062 | Kimberly Bowens | Counselor | 321 N De Villiers St Ste 209, Pensacola, FL 32501-3891 | 2020-02-25 |
| 1992343172 | The Center for Compassionate Care, LLC | Counselor | 6707 Plantation Rd Ste B3, Pensacola, FL 32504-6216 | 2019-12-18 |
| 1417507146 | Cynthia Marie Skoros | Counselor | 9511 Holsberry Rd Ste E, Pensacola, FL 32534-1347 | 2019-09-14 |
| 1831752039 | Inner Peace Pensacola LLC | Counselor | 600 University Office Blvd Ste 7, Pensacola, FL 32504-6251 | 2019-04-15 |
| 1508339235 | Kristie Williams | Counselor | 1610 Barrancas Ave, Pensacola, FL 32502-5212 | 2019-01-04 |
| Find all providers in PENSACOLA | ||||
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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.