MR. MICHAEL DOUGLAS BRADLEY (NPI# 1972771293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972771293 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DOUGLAS BRADLEY |
| Credential | ADVANCED EMT |
| Practice Address |
Bld 301 Andrews Ave Lyster Army Health Clinic Ft. Rucker AL 36362 |
| Practice Telephone | 3342557799 |
| Mailing Telephone | 3342557799 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2015-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146M00000X | Emergency Medical Technician, Intermediate | 8834260 | AL | Emergency Medical Service Providers |
| Y | 146N00000X | Emergency Medical Technician, Basic | E0298474 | AL | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179396 | Michael Bradley | Driver | 1202 Taylor St, Fredericksburg, VA 22401-2664 | 2017-08-11 |
| 1346438231 | Michael E Bradley | Occupational Therapist | 4179 Woodley Creek Rd, Jacksonville, FL 32218-9185 | 2007-10-04 |
| 1225131444 | Michael James Bradley | Ophthalmology | 11820 S State St, Draper, UT 84020-7133 | 2006-09-06 |
| 1982250411 | Michael Bradley | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-12 |
| 1841758604 | Michael Bradley | Counselor | 815 Grandview Rd, Oil City, PA 16301-2077 | 2019-03-11 |
| 1386091346 | Michael Bradley | Licensed Psychiatric Technician | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2016-05-19 |
| 1770954166 | Michael Bradley | Behavioral Analyst | 1469 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-10-12 |
| 1265860878 | Michael Shane Bradley | Physician Assistant | 404 Shoppers Dr, Winchester, KY 40391-1378 | 2013-10-16 |
| 1922270644 | Michael Joseph Bradley | Internal Medicine | 7101 Jahnke Rd, Hca, Richmond, VA 23225 | 2008-04-02 |
| 1174729529 | Michael Durante Bradley | Pharmacist | 80 Jesse Hill Jr Dr Se, Pharmacy Administration, Atlanta, GA 30303-3031 | 2007-06-22 |
| Street Address |
BLD 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC |
| City | FT. RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649604349 | Jason Stewart Haller | Emergency Medical Technician, Basic | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1700195229 | Joseph William Baltz | Emergency Medical Technician, Basic | Bldg 301 Andres Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2010-10-01 |
| 1154638963 | Joshua Aaron Creel | Emergency Medical Technician, Basic | Bldg. 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2010-09-01 |
| 1831377621 | Jonathan W Swearingin | Emergency Medical Technician, Basic | Bldg. 301 Andrews Ave., Ft. Rucker, AL 36362 | 2008-02-05 |
| 1649604349 | Jason Stewart Haller | Emergency Medical Technician, Basic | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-08-29 |
| 1073945317 | Eric Joiner | Emergency Medical Technician, Basic | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-08-08 |
| 1417393794 | Derek James Adams Sr. | Emergency Medical Technician, Basic | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-05-14 |
| 1134409956 | Bryan Glen Prince | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2011-08-24 |
| 1245549542 | Philip Logan Fleming | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2010-10-04 |
| 1376872218 | Tabatha Renee Turner | Emergency Medical Technician, Basic | Bldg. 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2009-12-23 |
| Find all providers in FT. RUCKER | ||||
| City | FT. RUCKER |
| Zip Code | 36362 |
Please comment or provide details below to improve the information on MR. MICHAEL DOUGLAS BRADLEY.
| 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.