JAMES D. D. BRADLEY, PH.D., PA (NPI# 1821493388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821493388 |
| Entity Type | Organization |
| Organization Name | JAMES D. D. BRADLEY, PH.D., PA |
| Practice Address |
21110 Biscayne Blvd Suite 304 Aventura FL 33180-1227 |
| Practice Telephone | 3059325500 |
| Practice Fax Number | 3059350466 |
| Mailing Telephone | 3059325500 |
| Mailing Fax Number | 3059350466 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | MR. JAMES D BRADLEY (OWNER) |
| Authorized Official Telephone | 3059325500 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
21110 BISCAYNE BLVD SUITE 304 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184045 | Lawrence T. Reese | Ophthalmology | 21110 Biscayne Blvd, Ste 403, Aventura, FL 33180-1252 | 2005-06-15 |
| 1578098653 | Karen Firesteone | Social Worker | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1229 | 2017-04-26 |
| 1043758212 | Brittany Grabois Schuman | Psychologist | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1227 | 2017-02-07 |
| 1033657200 | Bgs Psychological Services LLC | Psychologist | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1227 | 2017-02-07 |
| 1750739827 | Sara Hellman | Physician Assistant | 21110 Biscayne Blvd, Suite 405, Aventura, FL 33180-1227 | 2016-05-31 |
| 1083076558 | Rohit Gaikwad | Physical Therapist | 21110 Biscayne Blvd, 205, Aventura, FL 33180-1227 | 2016-03-24 |
| 1205297389 | Medical Consultants of Florida LLC | Non-Pharmacy Dispensing Site | 21110 Biscayne Blvd, 203, Aventura, FL 33180-1227 | 2016-03-16 |
| 1518328731 | Liza Isabel Lizarraga | Obstetrics & Gynecology | 21110 Biscayne Blvd, Suite 312, Aventura, FL 33180-1227 | 2016-03-15 |
| 1598135634 | Rufat Dasayev | Nurse Practitioner | 21110 Biscayne Blvd, Suite 303, Aventura, FL 33180-1227 | 2015-10-01 |
| 1427426113 | Genesiscare Usa of Florida LLC | Urology | 21110 Biscayne Blvd, Suite 401, Aventura, FL 33180-1227 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820333 | Griff Psychological Associates Pllc | Psychologist | 21150 Point Pl Apt 903, Aventura, FL 33180-4035 | 2019-09-16 |
| 1083036529 | Today's World Consultants, LLC | Psychologist | 20533 Biscayne Blvd., 4-135, Aventura, FL 33180-2801 | 2014-01-17 |
| 1497954549 | Raquel Bild-libbin | Psychologist | 2845 Aventura Blvd Ste 201, Aventura, FL 33180-3120 | 2007-07-17 |
| 1306856646 | Nancy Bacher | Psychologist | 2999 Ne 191st St Ste 705, Aventura, FL 33180-3386 | 2006-08-09 |
| 1023632130 | Dovid Kirzner | Psychologist | 17501 Biscayne Blvd Ste 450, Aventura, FL 33160-4806 | 2020-06-04 |
| 1184111981 | Lavado Psychological Services | Psychologist | 17501 Biscayne Blvd Ste 450, Aventura, FL 33160-4806 | 2018-04-17 |
| 1043758212 | Brittany Grabois Schuman | Psychologist | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1227 | 2017-02-07 |
| 1033657200 | Bgs Psychological Services LLC | Psychologist | 21110 Biscayne Blvd, Suite 304, Aventura, FL 33180-1227 | 2017-02-07 |
| 1104284967 | Alexis Resnick Ph.d. Pa | Psychologist | 17501 Biscayne Blvd, Suite 450, Aventura, FL 33160-4802 | 2016-02-08 |
| 1972936177 | Briana J Lubin | Psychologist | 2750 Ne 185th St, Suite 305, Aventura, FL 33180-2876 | 2013-08-12 |
| Find all providers in AVENTURA | ||||
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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.