TIFFANY BRADLEY (NPI# 1962935288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962935288 |
| Entity Type | Individual |
| Full Name | TIFFANY BRADLEY |
| Credential | M.D. |
| Practice Address |
4275 Burnham Ave Ste 255 Las Vegas NV 89119-8204 |
| Mailing Address |
Po Box 98978 Las Vegas NV 89193-8978 |
| Practice Telephone | 7023690088 |
| Practice Fax Number | 7028934913 |
| Mailing Telephone | 7022163343 |
| Mailing Fax Number | 7026716883 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20227 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1962935288 | 05 | |
| NV | STATE LICENSE | 20227 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148934 | Tiffany M Bradley | Social Worker | 275 W 140th St Apt 8b, New York, NY 10030-1967 | 2019-01-18 |
| 1316313489 | Tiffany Bradley | Home Health Aide | 7550 N Broadway, Saint Louis, MO 63147-2620 | 2015-08-12 |
| 1447452347 | Tiffany Paige Bradley | Psychologist | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2007-06-03 |
| 1164076485 | Tiffany Bradley | Behavior Technician | 1133 13th St, Columbus, GA 31901-2248 | 2019-07-25 |
| 1124558184 | Tiffany Bradley | Case Manager/Care Coordinator | 2000 Aldersgate Rd, Little Rock, AR 72205-7018 | 2017-06-13 |
| 1225495575 | Tiffany Bradley | Chiropractor | 3288 Robinhood Rd, Ste 101, Winston Salem, NC 27106-5464 | 2016-01-18 |
| 1609247154 | Tiffany Bradley | Occupational Therapist | 406 Wyoming Rd, Owingsville, KY 40360-8906 | 2015-10-09 |
| Street Address |
4275 BURNHAM AVE STE 255 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-8204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568524692 | Karl John Samonte | Physical Therapist | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2006-12-14 |
| 1972893196 | Evita Daradal Alegre | Registered Nurse | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2011-04-08 |
| 1255620035 | Betsy Omandac | Respiratory Therapist, Certified | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2011-04-01 |
| 1386933315 | Good Shepherd Rehab Inc. | Clinic/Center | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2011-03-30 |
| 1982993911 | Deborah Quarz | Respiratory Therapist, Certified | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2011-03-30 |
| 1215238845 | Duchess Menchavez | Occupational Therapist | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2010-11-12 |
| 1407156102 | Julieta Ramos | Registered Nurse | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2010-10-27 |
| 1437477726 | Sarah Kathleen Cervantes | Registered Nurse | 4275 Burnham Ave Ste 255, Las Vegas, NV 89119-8204 | 2010-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| Find all providers in LAS VEGAS | ||||
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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.