BRADLEY L. NICHOLSON (NPI# 1891750014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891750014 |
| Entity Type | Individual |
| Full Name | BRADLEY L. NICHOLSON |
| Credential | MD |
| Practice Address |
747 Broadway Seattle WA 98122-4379 |
| Mailing Address |
3700 Sw Edmunds St Seattle WA 98126-2738 |
| Practice Telephone | 2063866000 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD00037334 | WA | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00037334 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8325581 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227836 | Bradley William Nicholson | Surgery | 18877 Jeb Stuart Hwy, Stuart, VA 24171 | 2005-07-07 |
| Street Address |
747 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935960 | Marilee M. Jensen | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2005-07-07 |
| 1366058919 | Mairghread Foley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-18 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1972116010 | Lindsey Gervascio | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2020-08-28 |
| 1669097572 | Jisun Park | Dietitian, Registered | 747 Broadway, Seattle, WA 98122-4379 | 2020-06-16 |
| 1023633187 | Hang Hoang-nguyen | Pharmacist | 747 Broadway, Seattle, WA 98122-4307 | 2020-06-14 |
| 1558981357 | Caitlin Elizabeth Busbee | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-21 |
| 1164041323 | Emma Ludesi Makoba | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4379 | 2020-04-08 |
| 1043849375 | Kaitlin Jane Byerly | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-07 |
| 1649809161 | Jia Hui Wang | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518372416 | John Raymond Avant Storey | Emergency Medicine | 3300 Meridian Ave N, Apt 204, Seattle, WA 98103-9150 | 2014-06-30 |
| 1346650017 | Anna Condino | Emergency Medicine | Emergency Services Northwest, 1550 N 115th Street, A150, Seattle, WA 98133 | 2014-05-05 |
| 1497184725 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 3050 Ne 127th St, Seattle, WA 98125-4415 | 2013-11-07 |
| 1578996211 | Drx Wa Urgent Care Providers Pllc | Emergency Medicine | 610 1st Ave N, Seattle, WA 98109-4001 | 2013-08-16 |
| 1770926602 | Nicholas Granzella | Emergency Medicine | 201 16th Ave E # Chm, Seattle, WA 98112-5226 | 2013-04-10 |
| 1669815882 | Brandy Cluka | Emergency Medicine | 325 9th Ave # 359702, Seattle, WA 98104-2420 | 2013-04-08 |
| 1285991711 | Carolan Rachel Hass | Emergency Medicine | 4755 Fauntleroy Way Sw Unit 110, Seattle, WA 98116-4669 | 2012-04-22 |
| 1265798391 | Sean Tan Nguyen | Emergency Medicine | 325 Ninth Ave., Ms# 359702, Seattle, WA 98104-2420 | 2012-04-03 |
| 1952698243 | Travis Allen Omura | Emergency Medicine | 809a Nw 53rd St, Seattle, WA 98107-3644 | 2011-07-07 |
| 1629361761 | Blaise Bellows | Emergency Medicine | 3235 37th Pl S, Seattle, WA 98144-7017 | 2011-05-23 |
| Find all providers in SEATTLE | ||||
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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.