MR. BRADLEY STEPHEN KING (NPI# 1790298289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790298289 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY STEPHEN KING |
| Credential | CDP |
| Practice Address |
221 E Washington Ave Dayton WA 99328-1317 |
| Practice Telephone | 5093821164 |
| Practice Fax Number | 5093821164 |
| Mailing Telephone | 5093821164 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CG60783264 | WA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
60113996 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150035 | Bradley King | Student in an Organized Health Care Education/Training Program | 10600 Steamboat Lndg, Columbia, MD 21044-4149 | 2019-02-13 |
| 1285960955 | Bradley King | Registered Nurse | 203 Peebles Ave, Franklin, KY 42134-1637 | 2009-10-30 |
| 1174633036 | Bradley Edholm King | Dentist | 121 E Front Ave, Bismarck, ND 58504-5589 | 2006-08-30 |
| 1205464732 | Bradley King | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550-0002 | 2020-03-30 |
| 1215357033 | Bradley Anthony King | Orthopaedic Surgery | 3301 Mercy Health Blvd Ste 450, Cincinnati, OH 45211-1106 | 2014-04-19 |
| 1689014904 | Bradley King | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2013-07-01 |
| 1043504152 | Bradley Mark King | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2011-06-06 |
| 1336453240 | Bradley Stephen King | Pharmacist | 220 S Main St, Stanley, NC 28164-2011 | 2010-08-03 |
| 1295948206 | Bradley King | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2007-05-07 |
| 1639118367 | Bradley Owen King | Emergency Medicine | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2006-06-06 |
| Street Address |
221 E WASHINGTON AVE |
| City | DAYTON |
| State | WA |
| Zip Code | 99328-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922040526 | Blue Mountain Counseling of Columbia County | Clinic/Center | 221 E Washington Ave, Dayton, WA 99328-1317 | 2006-06-11 |
| 1740808369 | Rylie Dixon | Counselor | 221 E Washington Ave, Dayton, WA 99328-1317 | 2020-07-09 |
| 1255961447 | Michelle Fulbright | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2020-01-16 |
| 1164088464 | Teresa Rae | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2019-05-13 |
| 1285100305 | Margaret Gutierrez | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-10-16 |
| 1104306521 | Beverly June Startin | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-08-15 |
| 1699255000 | Jennifer Megan Price | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-08-15 |
| 1306324371 | Melinda Guthrie | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-08-01 |
| 1265910236 | Dimita Warren | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-08-01 |
| 1073091047 | Racheal Fletcher | Case Manager/Care Coordinator | 221 E Washington Ave, Dayton, WA 99328-1317 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736153 | County of Columbia | Public Health or Welfare | 1002 S 3rd Street, Ste 2, Dayton, WA 99328 | 2006-10-20 |
| 1134128911 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2005-07-14 |
| 1619454030 | Tasha L Willoughby | Counselor | 1012 South Third Street, Dayton, WA 99328 | 2018-07-27 |
| 1821500299 | Bruce Wayne Pollard | Social Worker | 1012 South Third Street, Dayton, WA 99328 | 2017-10-25 |
| 1811307382 | Kimberly Greene | Speech-Language Pathologist | 1012 South Third Street, Dayton, WA 99328 | 2014-05-05 |
| 1689841892 | Rebekah R Gustin | Occupational Therapist | 1012 South Third Street, Dayton, WA 99328 | 2008-05-15 |
| 1932286077 | Columbia County Hospital District | Medicare Defined Swing Bed Unit | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1518044551 | Columbia County Hospital District | Clinic/Center | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1659458610 | Columbia County Hospital District | Skilled Nursing Facility | 1012 South Third Street, Dayton, WA 99328 | 2006-11-01 |
| 1023193828 | Kim Irene Emery | Physician Assistant | 1012 South Third Street, Dayton, WA 99328 | 2006-10-27 |
| Find all providers in zip 99328 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 1578170056 | Taylor Katherine Bevins | Counselor | 856 Hyde Park Dr, Dayton, OH 45429-5840 | 2020-09-28 |
| 1528689676 | Yvonne Marie Randel | Counselor | 519 County Road 4011, Dayton, TX 77535-7386 | 2020-04-29 |
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1477190312 | Tewanna Hawkins | Counselor | 4352 Catalina Ave, Dayton, OH 45416-1302 | 2019-12-10 |
| 1588206718 | Iris Marie Blanchard | Counselor | 329 Imogene Rd, Dayton, OH 45405-5208 | 2019-10-09 |
| 1891345559 | Larry S Baxter IIi | Counselor | 612 Gramont Ave, Dayton, OH 45402-5439 | 2019-09-16 |
| 1992354286 | Eden E Mcdonald | Counselor | 1592 Joselin Rd, Dayton, OH 45432-3647 | 2019-09-09 |
| 1730746942 | Kimberly Billingsley | Counselor | 212 N Orchard Ave, Dayton, OH 45417-2453 | 2019-05-22 |
| Find all providers in DAYTON | ||||
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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.