Bradley J Adams D P M

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRADLEY J ADAMS D P M

Practice address

734 S Shoop Ave
Wauseon, OH 43567-1707

Phone

(419) 337-8897

Fax

(419) 337-4910

NPI assigned

Dec 31, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley J Adams, D P MNPI 1982640017

Title

D P M/Owner

Phone

(419) 337-8897

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley J Adams, D.P.M.

  • Podiatrist
  • Wauseon, OH
  • NPI 1982640017
  Authorized official Same address or phone

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467637124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671707",
            "telephone_number": "419-337-8897",
            "fax_number": "419-337-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 S SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671707",
            "telephone_number": "419-337-8897",
            "fax_number": "419-337-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J ADAMS D P M",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "D P M/OWNER",
        "authorized_official_telephone_number": "419-337-8897",
        "authorized_official_credential": "D P M"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000115549",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02037",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE CHP",
            "identifier": "605732",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bralynn E Blanton
• Tanna Lynn Bolden
• Sharon R Borton, LSW
• Jana L Bourn, MD
• George Boykin Sr.
• Buckeye Forest at Wauseon LLC (Ayden Healthcare of Wauseon)
• Megan Danee Burkholder
• Nicole Kay Burrows
• Angie Ellen Burton, LISW
• Brenda M Byers, LSW

• Durable Medical Equipment & Medical Supplies in Wauseon, OH
• Providers in Wauseon, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.