DR. TIMOTHY MICHAEL BRADLEY (NPI# 1851394746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851394746 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY MICHAEL BRADLEY |
| Credential | M.D. |
| Practice Address |
602 Vonderburg Dr Suite 103 Brandon FL 33511-5900 |
| Practice Telephone | 8137208001 |
| Mailing Telephone | 8137208001 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
ME87576 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710274956 | Timothy Bradley | Contractor | 14330 E Spruce Circle, Talkeetna, AK 99676-0984 | 2011-07-08 |
| 1356997878 | Timothy Bradley | Student in an Organized Health Care Education/Training Program | 1 College Ave # Dif123, Williamsport, PA 17701-5778 | 2019-08-12 |
| 1922296433 | Timothy P Bradley | Pediatrics | 1 Elliot Way, Elliot Emergency Medicine, Manchester, NH 03103-3502 | 2007-10-09 |
| 1568682508 | Timothy Michael Bradley | Surgery | 3310 W Main St, Suite 200, St Charles, IL 60175-1000 | 2007-05-01 |
| Street Address |
602 VONDERBURG DR SUITE 103 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264313 | Lauren Arielle Mckeever | Speech-Language Pathologist | 602 Vonderburg Dr, Brandon, FL 33511-5900 | 2019-06-18 |
| 1689158313 | Shantrice Jones | Speech-Language Pathologist | 602 Vonderburg Dr, Brandon, FL 33511-5900 | 2018-09-19 |
| 1467933416 | Adriana Binasco | Speech-Language Pathologist | 602 Vonderburg Dr, Brandon, FL 33511-5900 | 2018-08-28 |
| 1194218610 | Kelly Sue Southmayd | Speech-Language Pathologist | 602 Vonderburg Dr, Brandon, FL 33511 | 2018-06-09 |
| 1902398746 | Amanda Dickson | Speech-Language Pathologist | 602 Vonderburg Dr, Brandon, FL 33511-5900 | 2018-06-06 |
| 1326564600 | Jessica Sedgley | Speech-Language Pathologist | 602 Vonderburg Dr, Brandon, FL 33511-5900 | 2017-08-17 |
| 1164960423 | Demis Elias Rodriguez | Specialist/Technologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2017-02-07 |
| 1952852410 | Tessa Foo | Specialist/Technologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2016-10-20 |
| 1790235208 | Lindsey Eshelman | Speech-Language Pathologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2016-10-07 |
| 1285181479 | Maria Pendleton | Speech-Language Pathologist | 602 Vonderburg Dr, Suite 201, Brandon, FL 33511-5900 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508264938 | Timothy M Bradley Md Pediatric Orthopedic Surgeon Pa | Orthopaedic Surgery | 602 Vonderburg Dr, Suite 103, Brandon, FL 33511-5900 | 2014-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1952662355 | Scoliosis & Pediatric Ortho Pa | Orthopaedic Surgery | 6370 N State Road 7, Suite 100, Coconut Creek, FL 33073-3606 | 2012-06-01 |
| 1144422486 | Hallandale Beach Orthopedics, Inc. | Orthopaedic Surgery | 1250 E Hallandale Beach Blvd Ste 700, Hallandale Beach, FL 33009-4641 | 2007-05-31 |
| 1427259076 | Davida Packer | Orthopaedic Surgery | 901 45th St Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2007-05-30 |
| 1124249511 | Jeffrey Alan Crastnopol | Orthopaedic Surgery | 3405 Saddlebrook Ln, Weston, FL 33331-3034 | 2007-05-01 |
| 1386786838 | Pediatric Orthopedics of Southwest Florida | Orthopaedic Surgery | 15821 Hollyfern Court, Fort Myers, FL 33908 | 2007-02-13 |
| 1134290414 | Luis Edgardo Kortright | Orthopaedic Surgery | 4600 N Habana Ave Ste 6, Tampa, FL 33614-7123 | 2006-11-10 |
| 1205862745 | Raymund Woo | Orthopaedic Surgery | 2501 N Orange Ave Ste 514, Orlando, FL 32804-4674 | 2006-06-25 |
| 1568424075 | David Siambanes | Orthopaedic Surgery | 3003 E. Dr. Martin Luther King Jr. Blvd., Mab-3rd Floor, Tampa, FL 33607-6307 | 2006-04-03 |
| 1740282292 | Randolph Cohen | Orthopaedic Surgery | 5830 Coral Ridge Dr Ste 207, Coral Springs, FL 33076 | 2005-08-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY MICHAEL BRADLEY.
| 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.