BRADLEY DONALD TOURTLOTTE (NPI# 1902955859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902955859 |
| Entity Type | Individual |
| Full Name | BRADLEY DONALD TOURTLOTTE |
| Credential | MD |
| Practice Address |
3663 Arch Rd Suite 400 Stockton CA 95215-8315 |
| Mailing Address |
7020 Burning Tree Ct Riverbank CA 95367-3328 |
| Practice Telephone | 2099432202 |
| Practice Fax Number | 2099432209 |
| Mailing Telephone | 2096139669 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G-076763 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3663 ARCH RD SUITE 400 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95215-8315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407654 | Josephine Lynne Nance | Physical Therapist | 3663 Arch Rd, St 400, Stockton, CA 95215-8315 | 2006-08-22 |
| 1720627656 | Jared Valenzuela | Acupuncturist | 3663 Arch Rd, Stockton, CA 95215-8315 | 2019-12-23 |
| 1760523161 | Homer Mccoy Harrison Jr. | Physician Assistant | 3663 Arch Rd, Stockton, CA 95215-8315 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1518392067 | Thuy Nhut Nguyen | Pharmacist | 7707 S Austin Rd, Stockton, CA 95215 | 2013-09-03 |
| 1154760270 | Stephanie Skewes | Psychologist | 7707 S Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-21 |
| 1053750398 | Steven Cartwright | Psychologist | 7707 S. Austin Road, Department of State Hospitals-stockton, Stockton, CA 95215 | 2013-06-20 |
| 1447520465 | James E Telander | Psychologist | 7650 S. Newcastle Rd., Stockton, CA 95215 | 2012-01-06 |
| 1568479806 | John Carl Molthen | Chiropractor | 4795 E State Route 88, Stockton, CA 95215 | 2006-08-01 |
| 1932735420 | Corrections and Rehabilitation | Pharmacy | 7707 South Austin Road, Room 123, Stockton, CA 95215 | 2020-03-17 |
| 1154471779 | Natalie Collette Farnsworth | Psychologist | 7707 Austin Rd, Stockton, CA 95215 | 2007-01-12 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1306015458 | John Edward Newman IIi | General Practice | 1819 Maude St, Stockton, CA 95206-5709 | 2008-02-22 |
| 1912001363 | Ngac Tien Tran | General Practice | 1545 Saint Marks Plz, Suite 1c, Stockton, CA 95207-6411 | 2006-09-07 |
| 1639187552 | Harbhajan Singh Shergill | General Practice | 5345 N El Dorado, #3, Stockton, CA 95207-5848 | 2006-08-04 |
| 1396720355 | Maynard F. Lang | General Practice | 782 East Harding Way, Stockton, CA 95205-6101 | 2005-12-13 |
| 1932383924 | Toanhungtran Md Inc | General Practice | 4545 Georgetown Pl, C 16, Stockton, CA 95207-6215 | 2007-12-26 |
| 1164500773 | Toan Hung Tran | General Practice | 4545 Georgetown Pl, C16, Stockton, CA 95207-6215 | 2006-11-01 |
| 1932214517 | Dumrong Jirasut | General Practice | 75 W March Lane, Suite H, Stockton, CA 95207-5729 | 2006-08-21 |
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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.