DR. BRADFORD J WOLK (NPI# 1861486227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861486227 |
| Entity Type | Individual |
| Full Name | DR. BRADFORD J WOLK |
| Credential | M.D. |
| Practice Address |
1674 W Hibiscus Blvd Melbourne FL 32901-2631 |
| Practice Telephone | 3214737170 |
| Practice Fax Number | 3217257780 |
| Mailing Telephone | 3214737170 |
| Mailing Fax Number | 3217257780 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 90227 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 44018 | 01 |
| FL | ME | ME 90227 | 01 |
| FL | 269824200 | 05 |
| Street Address |
1674 W HIBISCUS BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912434812 | Vivian Torres-olsen | Nurse Practitioner | 1674 W Hibiscus Blvd, Melbourne, FL 32901 | 2017-05-23 |
| 1669724688 | Antoinette Barre Ferry | Nurse Practitioner | 1674 W Hibiscus Blvd, Melbourne, FL 32901-2631 | 2012-10-15 |
| 1720257504 | Christie Dental Practice Group | Dentist | 1674 W Hibiscus Blvd, Melbourne, FL 32901-2631 | 2008-02-26 |
| 1518953348 | Patricia M Zylman | Obstetrics & Gynecology | 1674 W Hibiscus Blvd, Melbourne, FL 32901-2631 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376969154 | Dulce Cura & Wellness, Pllc | Obstetrics & Gynecology | 410 N Wickham Rd, Suite 201, Melbourne, FL 32935-8648 | 2014-03-17 |
| 1235460775 | New Beginnings Obgyn Pa | Obstetrics & Gynecology | 336 N Babcock St, Melbourne, FL 32935-7325 | 2010-01-22 |
| 1063610053 | Donna D Gamble | Obstetrics & Gynecology | 1281 S Hickory St, Melbourne, FL 32901-3231 | 2007-07-11 |
| 1235172693 | Rolando Ramon Gomez Jr. | Obstetrics & Gynecology | 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1382 | 2006-06-14 |
| 1073578654 | Ralph Zipper | Obstetrics & Gynecology | 1130 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1966 | 2006-04-18 |
| 1396729992 | Diran Joseph Chamoun | Obstetrics & Gynecology | 3160 Alzante Cir, Melbourne, FL 32940-7330 | 2005-12-06 |
| 1740274646 | Rebecca A Wagaman | Obstetrics & Gynecology | 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 | 2005-09-07 |
| 1235122896 | Victor Benezra | Obstetrics & Gynecology | 129 W Hibiscus Blvd, Suite A, Melbourne, FL 32901-3006 | 2005-08-29 |
| 1598761306 | Paula M Miner | Obstetrics & Gynecology | 7125 Murrell Rd Ste E, Melbourne, FL 32940-7999 | 2005-06-27 |
| Find all providers in MELBOURNE | ||||
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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.