Bradley H Paddock MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

150053 Issued in NY

Legal business name

BRADLEY H PADDOCK MD

Practice address

242 E State St Ext
Gloversville, NY 12078-6039

Phone

(518) 725-8656

Fax

(518) 773-7824

NPI assigned

Aug 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Holmes PaddockNPI 1649230012

Title

MD

Phone

(518) 725-8656

Specialties & licenses 1

Addresses

Practitioners 2

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

• Bradley Holmes Paddock, M.D.

  • Otolaryngology Physician
  • Gloversville, NY
  • NPI 1649230012
  NPD Authorized official
• Amy Beth Paddock, FNP

  • Family Nurse Practitioner
  • Gloversville, NY
  • NPI 1104276203
  NPD

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1316463672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 E STATE ST EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786039",
            "telephone_number": "518-725-8656",
            "fax_number": "518-773-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E STATE ST EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120786039",
            "telephone_number": "518-725-8656",
            "fax_number": "518-773-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY H PADDOCK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PADDOCK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "HOLMES",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "518-725-8656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "150053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Jade Bonanno, OTR/L, MS
• Andrew Bornt
• Andrea Ann Bovee, MSW
• Deborah Jean Bovee, LCSW
• Sandra Lee Boyd, PA-C
• Nicole Gale Bradshaw
• Karen Brittain
• Katie Broadwell, LMHC
• Molly Brogan, RD
• Jessica Lynn Brosat-Hamm

• Otolaryngology Physician in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.