| Marla J Bradley, | |
|
1907 11th St, Portsmouth, OH 45662-4531 | |
| (513) 941-4999 | |
| Not Available |
| Full Name | Marla J Bradley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1907 11th St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568904779 | NPI | - | NPPES |
| 0195825 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.334783 (Ohio) | Secondary |
| 163W00000X | Registered Nurse | RN294440 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.020002 (Ohio) | Primary |
| Entity Name | Brightview Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20150923000820 |
| Entity Name | Sunrise Treatment Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992043053 PECOS PAC ID: 8628336617 Enrollment ID: O20180313001475 |
| Entity Name | Cardinal Treatment Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215589197 PECOS PAC ID: 3375974421 Enrollment ID: O20200506000392 |
| Entity Name | Cardinal Treatment Centers Piketon Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194432591 PECOS PAC ID: 0244605798 Enrollment ID: O20230613003031 |
| Mailing Address | Practice Location Address |
|---|---|
| Marla J Bradley, 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 Ph: (513) 941-4999 | Marla J Bradley, 1907 11th St, Portsmouth, OH 45662-4531 Ph: (513) 941-4999 |
Kevin Wolfe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Scioto Trl, Ste 200, Portsmouth, OH 45662 Phone: 740-353-8100 Fax: 740-353-8908 | |
Elizabeth L Mathis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 27th St Ste F301, Portsmouth, OH 45662 Phone: 740-356-7546 Fax: 740-356-8077 | |
Mrs. Crystal Marie Travis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-1010 | |
Lynsey Arey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662 Phone: 740-353-8661 Fax: 740-354-3254 | |
Michael L Purdy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7972 | |
Mrs. Stephanie Joan Lang, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 | |
Mr. Joseph David Augustin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1248 Kinneys Ln, Portsmouth, OH 45662 Phone: 740-356-7290 Fax: 740-356-7938 |