My Personal Driver

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MY PERSONAL DRIVER

Practice address

47 Woodlawn Ave
Bridgeport, CT 06606-2962

Phone

(860) 600-3132

NPI assigned

Nov 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tyrone CraddockNPI 1205472396

Title

Owner

Phone

(860) 600-3132

Specialties & licenses 1

Addresses

Other names 1

• My Personal driver Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyrone Craddock

  • Private Vehicle
  • Bridgeport, CT
  • NPI 1205472396
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1215573365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WOODLAWN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062962",
            "telephone_number": "860-600-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WOODLAWN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062962",
            "telephone_number": "860-600-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PERSONAL DRIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-600-3132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Personal driver",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kimberly Simons Murphy, OTR/L
• Loretta Egan Murphy, APRN
• Svetlana Musheyev, ACNP
• Hisham Ahmed Mushtaq, MD
• Momil Muzaffar, MBBS
• My Sisters Keeper PLLC
• Carisa Myers, RN, IBCLC
• Clifford S Myers, PA-C
• Eliza Harrington Myers, M.D.
• Myorthos Connecticut Orthodontics PC

• Private Vehicle in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Private Vehicle in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.