PAUL RICHARD BRADBURY (NPI# 1902319635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902319635 |
| Entity Type | Individual |
| Full Name | PAUL RICHARD BRADBURY |
| Credential | PA-S |
| Practice Address |
915 4th St Nw Choteau MT 59422-9123 |
| Practice Telephone | 8653863005 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 62772 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 266 County Road 406, Athens, TN 373036522 | 8653863005 |
| Street Address |
915 4TH ST NW |
| City | CHOTEAU |
| State | MT |
| Zip Code | 59422-9123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083602205 | Benefis Community Hospitals, Inc. | Custodial Care Facility | 915 4th St Nw, Choteau, MT 59422-9123 | 2005-10-11 |
| 1356754717 | Paul Pelroy | Nurse Practitioner | 915 4th St Nw, Choteau, MT 59422-9123 | 2014-06-03 |
| 1629359922 | Sharon Leann Lyons | Nurse Practitioner | 915 4th St Nw, Choteau, MT 59422-9123 | 2011-08-31 |
| 1326167875 | Teton Medical Center | Pharmacy | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-03-28 |
| 1740318948 | Teton Medical Center | Clinic/Center | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-03-01 |
| 1659409852 | Teton Medical Center | Occupational Therapist | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-03-01 |
| 1619005113 | Teton Medical Center | Clinic/Center | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-02-28 |
| 1013045590 | Teton Medical Center | Clinic/Center | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-02-28 |
| 1477681989 | Teton Medical Center | Speech-Language Pathologist | 915 4th St Nw, Choteau, MT 59422-9123 | 2007-02-28 |
| 1467475079 | Teresa D Smith-keil | Nurse Practitioner | 915 4th St Nw, Choteau, MT 59422-9123 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518117985 | John H Schieffelbein | Social Worker | 19 3rd Street Northeast, Center for Mental Health, Choteau, MT 59422 | 2008-09-23 |
| 1649492588 | David Binns Selander | Dentist | 23 7th Avenue Nw, Choteau, MT 59422 | 2007-05-02 |
| 1750438909 | Choteau Activities Inc | Day Training, Developmentally Disabled Services | 109 Main Avenue North, Choteau, MT 59422 | 2007-01-03 |
| 1053379289 | County of Teton | Ambulance | Hwy 89 County Courthouse, Choteau, MT 59422 | 2006-05-04 |
| 1871556613 | Judy E Borland | Family Medicine | 915 4th St. Nw, Choteau, MT 59422 | 2006-04-11 |
| 1598756322 | County of Teton | Nursing Facility/Intermediate Care Facility | 24 Main Ave N, Choteau, MT 59422 | 2005-11-01 |
| 1760478069 | Douglas S Vandolah | Chiropractor | 30 N Main Ave, Choteau, MT 59422 | 2005-09-22 |
| 1518307339 | Lucas Mccann Allen | Dentist | 15 1st St Ne, Choteau, MT 59422 | 2013-06-25 |
| 1326138579 | Pondera Medical Center | Clinic/Center | 19 1st St Ne, Choteau, MT 59422 | 2006-10-16 |
| 1255500740 | Choteau Drug, Inc | Durable Medical Equipment & Medical Supplies | 102 Main Ave North, Choteau, MT 59422-0040 | 2008-02-28 |
| Find all providers in zip 59422 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1285255893 | Teryn Ashli Green | Physician Assistant | 212 5th Ave, Helena, MT 59601-4204 | 2020-05-05 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1891269973 | Jason Enewold | Physician Assistant | 1424 Scott St, Missoula, MT 59802-2435 | 2019-01-11 |
| 1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
| 1730664723 | Katrin Johanna Kahl | Physician Assistant | 5005 Pattee Canyon Rd, Missoula, MT 59803-1811 | 2018-09-26 |
| 1023591757 | Kaytlin G Deveney | Physician Assistant | 305 W Porphyry St Ste 100, Butte, MT 59701-2000 | 2018-09-09 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
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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.