DR. BRADLEY D RAISHER


Address: 201 Cedar, Suite 700, Albuquerque, NM 87106
Phone: 5058483700

DR. BRADLEY D RAISHER (NPI# 1912965237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912965237
Entity Type Individual
Full Name DR. BRADLEY D RAISHER
Credential MD
Practice Address 201 Cedar
Suite 700
Albuquerque
NM 87106
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 5058483700
Practice Fax Number 5058483703
Mailing Telephone 2083812222
Enumeration Date 2006-05-03
Last Update Date 2014-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
M11905 ID Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
96345 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM L0722 05

Office Location

Street Address 201 CEDAR
SUITE 700
City ALBUQUERQUE
State NM
Zip Code 87106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
Find all providers in zip 87106

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326351214 James E Goldsmith Pediatrics 201 Cedar St Se Ste 700, Albuquerque, NM 87106-4905 2010-07-20
1558534883 Bharat Srichand Dara Pediatrics 201 Cedar St Se, Suite 700, Albuquerque, NM 87106-4917 2008-04-08
1750580411 Pediatrix Cardiology of New Mexico, P.C. Pediatrics 201 Cedar St Se, Ste. 700, Albuquerque, NM 87106-4917 2007-07-13
1023155074 Umesh Chandra Joashi Pediatrics 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 2007-01-31
1578653705 Pediatric Cardiology Associates of New Mexico PC Pediatrics 201 Cedar St Se, Suite 700, Albuquerque, NM 87106-4905 2006-10-16
1598775660 Gerard Holmes Pediatrics 201 Cedar Se, Suite 700, Albuquerque, NM 87106 2006-08-09
1063429017 J. Waldman Pediatrics 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 2006-08-02
1952316408 M. Beth Goens Pediatrics 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 2006-07-30
1376586925 Jon Love Pediatrics 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 2006-06-13
1174570410 William Berman Jr. Pediatrics 201 Cedar Se, Ste 700, Albuquerque, NM 87106 2006-05-30
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87106

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Dataset Information

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.

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