JEFFREY SHANE BRADLEY (NPI# 1891807285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807285 |
| Entity Type | Individual |
| Full Name | JEFFREY SHANE BRADLEY |
| Credential | MD |
| Practice Address |
530 E 34th St Joplin MO 64804-3926 |
| Mailing Address |
4750 S Old Mill Creek Rd Columbia MO 65203-9254 |
| Practice Telephone | 4173477630 |
| Mailing Telephone | 2687236718 |
| Mailing Fax Number | 2684848916 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2006013527 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Aua College of Medicine, University Park, Jabberwock Beach Road, Coolidge, Antigua PO BOX W1415, AG | 2684848900 | 2684848916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639270853 | Jeffrey A Bradley | Obstetrics & Gynecology | 870 Crestmark Dr Ste 203, Lithia Springs, GA 30122-2665 | 2006-09-26 |
| 1851598353 | Jeffrey M Bradley | Orthopaedic Surgery | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2007-06-28 |
| 1801941554 | Jeffrey Bradley | Social Worker | 464 Granite Ave, Suite 25, Milton, MA 02186-5625 | 2007-01-24 |
| 1699793232 | Jeffrey D Bradley | Radiology | 4921 Parkview Pl, Ll, Saint Louis, MO 63110-1032 | 2006-07-18 |
| Street Address |
530 E 34TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615269 | Sherry K Quackenbush | Social Worker | 530 E 34th St, Joplin, MO 64804-3926 | 2020-09-30 |
| 1902412174 | Kristen J Tanner | Social Worker | 530 E 34th St, Joplin, MO 64804-3926 | 2020-09-22 |
| 1093376832 | Kimberly Anne Hammonds | Nurse Practitioner | 530 E 34th St, Joplin, MO 64804-3926 | 2019-06-24 |
| 1255847463 | Justin Kyle Boudreaux | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2017-12-26 |
| 1649623562 | Heather Kay Wadeson | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2016-07-15 |
| 1073986576 | Sooin Lee | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-05 |
| 1104299098 | Megan Robertson | Marriage & Family Therapist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-02 |
| 1497144992 | Eve Lueker | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-01-21 |
| 1255739447 | Marcie Burk | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2014-12-20 |
| 1396080974 | James Townsend | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2012-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766707 | Oscar H Gonzalez | Psychiatry & Neurology | 2509 Jackson Street, Joplin, MO 64804 | 2006-11-15 |
| 1336218320 | Scarlett Florence Custer | Psychiatry & Neurology | 932 E. 34th Street, Joplin, MO 64804-3932 | 2006-11-06 |
| 1194810184 | Modaser - Shah | Psychiatry & Neurology | 530 E 34th St., Joplin, MO 64803-2526 | 2006-10-04 |
| 1467489450 | Steven Kory | Psychiatry & Neurology | 1002 Mcintosh Circle, Ste 4, Joplin, MO 64804 | 2006-06-27 |
| 1083671333 | Brandon D. Riesenmy | Psychiatry & Neurology | 2001 S Connor Ave, Joplin, MO 64804-1841 | 2006-04-28 |
| 1316923436 | Asadullah Ahmed | Psychiatry & Neurology | 1800 W 30th St, Joplin, MO 64804-1520 | 2005-12-20 |
| 1629051123 | James Orlando IIi | Psychiatry & Neurology | 5615 W. 32nd, Joplin, MO 64804 | 2005-11-29 |
| 1922001635 | William Joseph Klontz | Psychiatry & Neurology | 5615 W 32nd St, Joplin, MO 64804-8161 | 2005-05-27 |
| 1407472145 | Matthew Krahl | Psychiatry & Neurology | 932 E 34th St, Joplin, MO 64804-3932 | 2020-06-18 |
| 1043834583 | Syed Muhammad Faruleet Aoun Jafri | Psychiatry & Neurology | 932 E 34th St, Joplin, MO 64804-3932 | 2020-06-01 |
| Find all providers in JOPLIN | ||||
Please comment or provide details below to improve the information on JEFFREY SHANE 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.