Mitchell R Bradley (NPI# 1013256221, PAC ID# 9234374273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013256221 |
| PAC ID by PECOS | 9234374273 |
| Professional Enrollment ID | I20130322000410 |
| Full Name | Mitchell R Bradley |
| Organization Legal Name | NORTHWESTERN SERVICES LLC |
| Address |
30055 Northwestern Hwy Suite L 60 Farmington Hills MI 48334-3274 |
| Phone Number | 2482656555 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4486723657 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230104 | HARPER UNIVERSITY HOSPITAL |
| 230297 | KARMANOS CANCER CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3990 John R St, Detroit, MI 48201-2018 | 3139930822 | NORTHSTAR ANESTHESIA OF MICHIGAN PLLC |
| 4201 Saint Antoine St, Detroit, MI 48201-2153 | 3137453615 | NORTHSTAR ANESTHESIA OF MICHIGAN PLLC |
| 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 | 2482656555 | NORTHWESTERN SERVICES LLC |
| 230 W Maple Rd, Troy, MI 48084-5471 | 2482441500 | AMBULATORY ANESTHESIA ASSOCIATES, PC |
| Organization Legal Name | NORTHWESTERN SERVICES LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan L Stern | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Kathleen Antonietta Caradonna | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Eduardo Quintos Natavio | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Erin K Kitchenmaster | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Eman A Dahmani | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Amy E Friest | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Renee M Whiton | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Mark Charles Meitzner | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Joann R Spence | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Christopher J Casinelli | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Street Address |
30055 NORTHWESTERN HWY SUITE L 60 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip | 48334-3274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan L Stern | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Kathleen Antonietta Caradonna | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Sonia L Qatsha | Physician Assistant | Digestive Health Consultants Plc | 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334-3275 |
| Eduardo Quintos Natavio | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Erin K Kitchenmaster | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Eman A Dahmani | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Jay R Levinson | Gastroenterology | Digestive Health Consultants Plc | 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334-3275 |
| Amy E Friest | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Renee M Whiton | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Mark Charles Meitzner | Certified Registered Nurse Anesthetist (crna) | Northwestern Services LLC | 30055 Northwestern Hwy, Suite L 60, Farmington Hills, MI 48334-3274 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan Lee Migdalewicz | Chiropractic | 31224 Mulfordton St, Suite 110, Farmington Hills, MI 48334-1408 | |
| Andrew O Miller | Chiropractic | 31300 Rexwood, Farmington Hills, MI 48334-1464 | |
| Jennifer K Margolis | Psychiatry | 32255 Northwestern Hwy 60, Farmington Hills, MI 48334-1505 | |
| Nancy R Berman | Nurse Practitioner | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Jeffrey S Meyers | Internal Medicine | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Harvey P Sabbota | Internal Medicine | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Sharon T Wolf | Internal Medicine | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Lisa B Speck | Internal Medicine | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Julie B Finn | Internal Medicine | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Nicole L Ryke | Family Medicine | Michigan Healthcare Professionals PC | 32255 Northwestern Hwy, Suite 120, Farmington Hills, MI 48334-1505 |
| Find all physicians in zip 48334 | |||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FARMINGTON HILLS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mitchell R 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.