DR. BRADLEY ALAN FORD (NPI# 1811925019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811925019 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY ALAN FORD |
| Credential | M.D. |
| Practice Address |
3732 Carman Rd Schenectady NY 12303-5422 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183564132 |
| Practice Fax Number | 5183553996 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 138471 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SENIOR WHOLE HEALTH | 200305 | 01 |
| NY | MVP | 26118 | 01 |
| NY | 00571471 | 05 | |
| NY | FIDELIS | 070124000057 | 01 |
| NY | GHI/HMO | 11535 | 01 |
| NY | AETNA | 4644607 | 01 |
| NY | EMPIRE BC | 545161 | 01 |
| NY | BSNENY | 000401463001 | 01 |
| NY | CDPHP | 10000668 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922245430 | Bradley Parker Ford | Hearing Instrument Specialist | 2266 Mcdaniel Ln, Mcminnville, OR 97128 | 2009-01-21 |
| 1942490156 | Bradley Ford | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-07-25 |
| Street Address |
3732 CARMAN RD |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528420700 | Samantha Ann Barden | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2016-03-25 |
| 1639280332 | Lisa F Petraccione | Physician Assistant | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2006-08-31 |
| 1467567644 | Sue Petersen Mckinney | Physician Assistant | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2006-08-20 |
| 1083645345 | Michael Paul Sonnekalb | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2006-07-05 |
| 1235167776 | James David Saperstone | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2006-06-30 |
| 1962430405 | Darin Michael Price | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1891860102 | Dai Mook Lim | Pediatrics | 1370 Union Street, Schenectady, NY 12308-3017 | 2006-11-21 |
| 1588624829 | Nam Soo Lee | Pediatrics | 1726 Campbell Ave, Schenectady, NY 12306 | 2006-03-23 |
| 1063496768 | Hadi Koohsari | Pediatrics | 701 Union St, Schenectady, NY 12305-1504 | 2005-12-06 |
| 1528420700 | Samantha Ann Barden | Pediatrics | 3732 Carman Rd, Schenectady, NY 12303-5422 | 2016-03-25 |
| 1548543812 | Community Care Physicians, PC | Pediatrics | 700 Mcclellan Street, Schenectady, NY 12304-1019 | 2011-09-23 |
| 1518193606 | Fayanne Maria Fraser | Pediatrics | 1044 State St, Schenectady, NY 12307-1508 | 2009-06-03 |
| 1306959812 | Richard Yan | Pediatrics | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2006-08-17 |
| 1255349916 | Margaret M Woods | Pediatrics | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2006-08-04 |
| 1841208634 | Norbert J Woods | Pediatrics | 700 Mcclellan St, Schenectady, NY 12304-1019 | 2006-08-04 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
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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.