William B Bradley (NPI# 1649375940, PAC ID# 3375595804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649375940 |
| PAC ID by PECOS | 3375595804 |
| Professional Enrollment ID | I20050214000184 |
| Full Name | William B Bradley |
| Organization Legal Name | SOUTHEAST MISSOURI HEALTH NETWORK |
| Address |
200 Southland Dr Sikeston MO 63801-4403 |
| Phone Number | 5734721770 |
| Gender | M |
| Credential | NP |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1993 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507818044 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260113 | MISSOURI DELTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 421 Semo Dr, New Madrid Family Clinic, New Madrid, MO 63869-1733 | 5737482592 | SOUTHEAST MISSOURI HEALTH NETWORK |
| 200 Southland Dr, Sikeston, MO 63801-4403 | 5734721770 | SOUTHEAST MISSOURI HEALTH NETWORK |
| Organization Legal Name | SOUTHEAST MISSOURI HEALTH NETWORK |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karyn Dean | Nurse Practitioner | Southeast Missouri Health Network | 223 S 3rd St, Hayti Medical Clinic, Hayti, MO 63851-1617 |
| Danielle Elizabeth Jansen | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Amanda Bader | Nurse Practitioner | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Jennifer L Lawrence | Nurse Practitioner | Southeast Missouri Health Network | 500 Russell St, Kennett, MO 63857-2102 |
| Daniel G Domjan | Family Medicine | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Rebecca Vanessa Young | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Judith Haggard | Nurse Practitioner | Southeast Missouri Health Network | 500 Russell St, Kennett, MO 63857-2102 |
| Delayna Hunter | Nurse Practitioner | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Travis James Weiss | Physician Assistant | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Victoria Anne Robbins | Physician Assistant | Southeast Missouri Health Network | 6724 State Hwy 77, Benton, MO 63736-8238 |
| Street Address |
200 SOUTHLAND DR |
| City | SIKESTON |
| State | MO |
| Zip | 63801-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Elizabeth Jansen | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Daniel G Domjan | Family Medicine | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Rebecca Vanessa Young | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake A Borders | Nurse Practitioner | Managed Care Inc | 808 Hunter Ave, Suite 4, Sikeston, MO 63801-2253 |
| Melinda G Lambert | Nurse Practitioner | Managed Care Inc | 808 Hunter Ave, Suite 4, Sikeston, MO 63801-2253 |
| Kenneth W Rubenacker | Qualified Audiologist | 417 B S Kingshighway St, Area Hearing Services, Sikeston, MO 63801-2923 | |
| Leslie S Winchester | Chiropractic | Winchester Chiropractic and Wellness PC | 521 Greer Ave, Sikeston, MO 63801-3023 |
| Jack C Mills | Chiropractic | 1222 Linn St, Sikeston, MO 63801-3402 | |
| Brett E Taylor | Chiropractic | 1222 Linn St, Sikeston, MO 63801-3402 | |
| Margaret Rachel Coppage | Nurse Practitioner | Missouri Delta Medical Center | 1017 N Main St, Sikeston, MO 63801-5043 |
| Stephen Lillard | Pulmonary Disease | Missouri Delta Medical Center | 1019 N Main St, Sikeston, MO 63801-5043 |
| Lisa E Colwick | Nurse Practitioner | Missouri Delta Medical Center | 1017 N Main St, Sikeston, MO 63801-5043 |
| Sherry D Welker | Nurse Practitioner | Missouri Delta Medical Center | 1017 N Main St, Sikeston, MO 63801-5043 |
| Find all physicians in zip 63801 | |||
| City | SIKESTON |
| Zip Code | 63801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SIKESTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on William B Bradley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.