PAULA STOCKMAN BRADLEY (NPI# 1932366887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932366887 |
| Entity Type | Individual |
| Full Name | PAULA STOCKMAN BRADLEY |
| Other Name | PAULA ELIZABETH STOCKMAN |
| Credential | PA-C |
| Practice Address |
1244 N Main St Ste 201 Tooele UT 84074 |
| Mailing Address |
1244 N Main St Ste 201 Tooele UT 84047 |
| Practice Telephone | 4358823968 |
| Practice Fax Number | 8012699005 |
| Mailing Telephone | 8012623441 |
| Mailing Fax Number | 8012699005 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
67222221206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750765483 | Paula A Bradley | Occupational Therapist | 401 Independence Blvd, Sicklerville, NJ 08081-1094 | 2015-07-13 |
| Street Address |
1244 N MAIN ST STE 201 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407830953 | Glenn Hunter Thompson | Chiropractor | 1244 N Main St, Suite100, Tooele, UT 84074-9838 | 2005-11-29 |
| 1609201144 | Willow Creek Hospice of Utah, LLC | Hospice Care, Community Based | 1244 N Main St, Suite 103, Tooele, UT 84074-9838 | 2013-09-03 |
| 1053746594 | Pine Mountain Home Health, LLC | Hospice Care, Community Based | 1244 N Main St, Suite 103, Tooele, UT 84074-9838 | 2013-09-03 |
| 1417262122 | David K. Morrill, O.d., P.C. | Optometrist | 1244 N Main St, Suite 200, Tooele, UT 84074-9838 | 2010-08-18 |
| 1598995763 | John Todd Mcphie | Chiropractor | 1244 N Main St, Ste 100, Tooele, UT 84074-9839 | 2009-07-21 |
| 1528085016 | David Kay Morrill | Optometrist | 1244 N Main St, Suite 200, Tooele, UT 84074-9838 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265082242 | Zachary Perry | Physician Assistant | 2376 N 400 E Ste 102, Tooele, UT 84074-3413 | 2019-09-12 |
| 1043869639 | Mckenzie Bright | Physician Assistant | 2376 N 400 E Ste 102, Tooele, UT 84074-3413 | 2019-09-06 |
| 1104920354 | Craig Aaron Packham | Physician Assistant | 2356 N 400 E, Ste 102, Tooele, UT 84074 | 2006-09-09 |
| 1902840002 | Daniel Lee Martin | Physician Assistant | 2055 N Main St, Tooele, UT 84074-9819 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| Find all providers with the same taxonomy | ||||
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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.