DR. NANCY BRADLEY MERRILL


Address: Smu Memorial Student Health Center, 6211 Bishop Blvd, Dallas, TX 75275-0195
Phone: 2147682141

DR. NANCY BRADLEY MERRILL (NPI# 1972708592) 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) 1972708592
Entity Type Individual
Full Name DR. NANCY BRADLEY MERRILL
Credential M.D.
Practice Address Smu Memorial Student Health Center
6211 Bishop Blvd
Dallas
TX 75275-0195
Mailing Address 6741 Savannah Ln
Fort Worth
TX 76132-3729
Practice Telephone 2147682141
Practice Fax Number 2147682151
Mailing Telephone 8173701221
Mailing Fax Number 2147682151
Enumeration Date 2007-06-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice J3552 TX Allopathic & Osteopathic Physicians

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Office Location

Street Address SMU MEMORIAL STUDENT HEALTH CENTER
6211 BISHOP BLVD
City DALLAS
State TX
Zip Code 75275-0195

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366005217 Steven Plourde Specialist/Technologist 5800 Ownby Dr Sports Medicine, Dallas, TX 75275-0001 2019-04-17
1083277123 Jared Contreras Specialist/Technologist 5800 Ownby Drive Sports Medicine, Dallas, TX 75275-0001 2019-04-15
1629534425 Tasha L Koontz Specialist/Technologist 5800 Ownby Drive L018, Dallas, TX 75275-0001 2019-02-17
1407270846 Courtney Hobbs Washington Specialist/Technologist 5801 Bush Ave, Dallas, TX 75275-0001 2014-02-05
1801925516 Charles-warren Victor Young Specialist/Technologist Athletic Training Room, 5800 Ownby Dr., Dallas, TX 75275-0001 2007-03-06
1972520062 Zachary Robert Mcleese Specialist/Technologist Loyd All Sports Center Athletic Training Rm, 5800 Ownby Dr, Dallas, TX 75275-0001 2006-07-16
1508815853 Nancy Jean Bryan Nurse Practitioner 6211 Bishop Blvd., Dallas, TX 75275-0001 2006-05-06
1578550380 Jeanne Olson Specialist/Technologist 5800 Ownby Dr., Dallas, TX 75275-0001 2005-10-06
1093069957 Honami Abe Specialist/Technologist 5800 Ownby Dr, Dallas, TX 75275-0001 2012-10-31
1932174992 Casher D Birdwell Specialist/Technologist 5800 Ownby Dr., Dallas, TX 75275-0001 2006-02-22
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1598397937 Jennifer Renee Palomares General Practice 12221 Merit Dr Ste 350, Dallas, TX 75251-3233 2020-02-04
1902449333 Strategic Binary Solutions LLC General Practice 13030 Audelia Rd, 2190, Dallas, TX 75243-2471 2019-10-17
1922542075 Liferestore Md Usa LLC General Practice 3910 Gaston Ave Ste 140, Dallas, TX 75246-1523 2016-12-08
1275996860 Doorstep Procare Management LLC General Practice 12035 Shiloh Rd Ste 310, Dallas, TX 75228-1507 2016-03-31
1023490661 Adjust Physical Medicine Pllc General Practice 13450 Inwood Rd Ste 100, Dallas, TX 75244-5324 2015-06-19
1679983480 Nathaniel Ott General Practice 810 Turner Ave, Dallas, TX 75208-3737 2014-05-01
1720427057 Merritt Bonar Teddlie General Practice 7830 Meadow Park Dr, 108, Dallas, TX 75230-4942 2013-06-20
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Competitor

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City DALLAS
Zip Code 75275

Improve Information

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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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