CHARLES L BRADBURY M.D. NPI 1003871930

Internal Medicine in Louisville, KY

About CHARLES BRADBURY

Charles Bradbury is a provider in Louisville, KY. The NPI number assigned to this provider is 1003871930. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003871930 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name CHARLES L BRADBURY M.D.
Provider Location Address200 HIGH RISE DR STE 374 LOUISVILLE, KY 40213 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 950245 LOUISVILLE, KY 40295 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-02-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

CHARLES L BRADBURY M.D.
200 HIGH RISE DR
STE 374
LOUISVILLE, KY
ZIP 40213
Phone: (502) 969-6552
Get Directions

Mailing Address

CHARLES L BRADBURY M.D.
PO BOX 950245
LOUISVILLE, KY
ZIP 40295
Phone: (502) 969-6552
Fax: (502) 969-3799

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.17056
License StateKY
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1361978MEDICARE PIN (08)KY
D92413MEDICARE UPIN (02)KY
P00305244OTHER (01)KY

Map Location


CHARLES L BRADBURY M.D. address is 200 HIGH RISE DR STE 374 LOUISVILLE, KY 40213

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104053313 JOHN DEGONDA
Individual
Counselor200 HIGH RISE DR STE 330
LOUISVILLE, KY 40213
(502) 589-8600
1104956838 CORINNA PANNELL
Individual
Social Worker200 HIGH RISE DR STE. 373
LOUISVILLE, KY 40213
(502) 589-8600
1114108131 JENNIFER SMITH
Individual
Counselor200 HIGH RISE DR STE 330
LOUISVILLE, KY 40213
(502) 589-8600
1134322084 JENNIFER PARKS
Individual
Counselor200 HIGH RISE DR STE 373
LOUISVILLE, KY 40213
(502) 589-8600
1205891389 DONNA F SADLER M.D.
Individual
Family Medicine200 HIGH RISE DR STE 374
LOUISVILLE, KY 40213
(502) 969-6552
1205965563 DANIEL S KANTZ D.O.
Individual
Family Medicine200 HIGH RISE DR STE 374
LOUISVILLE, KY 40213
(502) 969-6552
1255396610 YASIER A BASHEER-GOWI M.D.
Individual
Family Medicine200 HIGH RISE DR STE 374
LOUISVILLE, KY 40213
(502) 969-6552
1336222488 JULIE LEISCHNER
Individual
Internal Medicine200 HIGH RISE DR STE 374
LOUISVILLE, KY 40213
(502) 969-6552
1477719557 MARQUITA WITHERSPOON
Individual
Counselor200 HIGH RISE DR STE 330
LOUISVILLE, KY 40213
(502) 589-8600
1477757813 MICHELLE RAPP
Individual
Case Manager/Care Coordinator200 HIGH RISE DR #330
LOUISVILLE, KY 40213
(502) 589-8600
1518922681 ABIGAIL V RAYNER M.D.
Individual
Family Medicine200 HIGH RISE DR STE 374
LOUISVILLE, KY 40213
(502) 969-6552
1588867220 CHERYL BRIGHT
Individual
Counselor200 HIGH RISE DR STE 330
LOUISVILLE, KY 40213
(502) 589-8600
1619932084 RICHARD H CALES M.D.
Individual
Internal Medicine200 HIGH RISE DR STE 374
LOUISVILLE, KY 40213
(502) 969-6552
1679723852 STACY BRADLEY
Individual
Counselor200 HIGH RISE DR STE. 330
LOUISVILLE, KY 40213
(502) 589-8600
1689805897 DEVIN REUL
Individual
Counselor200 HIGH RISE DR #373
LOUISVILLE, KY 40213
(502) 589-8600
1700057833ALTERNATIVE YOUTH SERVICES, INC.
Organization
Intermediate Care Facility, Mentally Retarded200 HIGH RISE DR SUITE 155
LOUISVILLE, KY 40213
(260) 485-0870
1710114590 MEREDITH SEIFFERT
Individual
Social Worker200 HIGH RISE DR STE. 330
LOUISVILLE, KY 40213
(502) 589-8600
1720298516 ALEXANDRA ROISEN-TASH
Individual
Counselor200 HIGH RISE DR STE 330
LOUISVILLE, KY 40213
(502) 589-8600
1780643726DR. PETER MICHAEL STEINER MD
Individual
Psychiatry & Neurology (Psychiatry)200 HIGH RISE DR #374
LOUISVILLE, KY 40213
(502) 212-1689
1942437884 TERI EISERT
Individual
Counselor200 HIGH RISE DR STE 330
LOUISVILLE, KY 40213
(502) 589-8600