Daniel John Bradford, MD | |
975 Ryland St Ste 100, Reno, NV 89502-1669 | |
(775) 982-5000 | |
(775) 982-5225 |
Full Name | Daniel John Bradford |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 975 Ryland St Ste 100, Reno, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528123254 | NPI | - | NPPES |
00A0241552 | Other | HI | HMSA |
53792001 | Medicaid | HI | |
BS374Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23000 (Nevada) | Primary |
Entity Name | Hometown Health Management Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861445892 PECOS PAC ID: 0244139798 Enrollment ID: O20040105000431 |
Entity Name | Community Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
Mailing Address | Practice Location Address |
---|---|
Daniel John Bradford, MD 1155 Mill St # Mcm14, Reno, NV 89502-1576 Ph: (775) 982-5000 | Daniel John Bradford, MD 975 Ryland St Ste 100, Reno, NV 89502-1669 Ph: (775) 982-5000 |
Dr. Zachary Tyler Baumgardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Ralston St, Suite 100, Reno, NV 89503 Phone: 775-786-1110 | |
Dr. Susan Jin-sun Park, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 661 Sierra Rose Dr, Reno, NV 89511 Phone: 775-982-8255 Fax: 775-982-8251 | |
Julie Elise Xeras, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1055 S Wells Ave, Reno, NV 89502 Phone: 775-329-6300 | |
Dr. Amy Leah Mcgaha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 W Moana Ln, Reno, NV 89509 Phone: 775-982-1000 Fax: 775-982-8046 | |
Gretchen Marie Vansteenwyk-marsh, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1281 Terminal Way Ste 114, Reno, NV 89502 Phone: 314-888-5233 | |
John R Lemieux, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccarran Blvd, Bldng B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
Mrs. Shannon L Zamboni, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Ralston St, Suite 100, Reno, NV 89503 Phone: 775-786-1110 Fax: 775-788-8075 |