Brad Douglas Jenkins, RT(R), RPA/RA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

13DC1477 Issued in DC

Practice address

111 Michigan Ave NW
Washington, DC 20010-2916

Phone

(910) 358-3775

NPI assigned

May 20, 2013

Last updated

May 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1952747792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 CONNECTICUT AVE NW",
            "address_2": "1023",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085853",
            "telephone_number": "910-358-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "910-358-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "BRAD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "RT(R), RPA/RA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "DC",
            "license": "13DC1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aminata Sesay Jenkins
• Angelo Jenkins
• Anthony Troy Jenkins
• Antonio Dwayne Jenkins
• April Holmes Jenkins, SLP
• Brandon Jenkins
• Cayla Jenkins
• Charles Bryan Jenkins, EDD
• Charrette Monique Jenkins
• Dashawana Jenkins

• Radiology Practitioner Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Radiology Practitioner Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.