DR. SHANNON S BRADLEY (NPI# 1225082647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225082647 |
| Entity Type | Individual |
| Full Name | DR. SHANNON S BRADLEY |
| Credential | MD |
| Practice Address |
1000 E Rosser Ave Bismarck ND 58501-4414 |
| Mailing Address |
401 N 9th St Bismarck ND 58501-4507 |
| Practice Telephone | 7015306000 |
| Practice Fax Number | 7015306430 |
| Mailing Telephone | 7015306000 |
| Mailing Fax Number | 7015306430 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 8469 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 11308 | 05 | |
| ND | MEDICARE RAILROAD | 160051292 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336255 | Shannon Bradley | Social Worker | 160 Bethlehem Pike Ste 120, Colmar, PA 18915-9790 | 2019-06-25 |
| 1710256680 | Shannon Bradley | Dental Hygienist | 114 Old Farms Rd, Cheshire, CT 06410-3773 | 2011-12-22 |
| 1053720557 | Shannon Deirdre Bradley | Social Worker | 12590 Whitehall Dr, Suite 1, Fort Myers, FL 33907-4680 | 2014-08-08 |
| 1770908568 | Shannon Poplin Bradley | Art Therapist | 373 Broadway, Ste. B05, New York, NY 10013-3926 | 2014-03-03 |
| 1417124538 | Shannon Gabrielle Bradley | Family Medicine | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2008-05-08 |
| Street Address |
1000 E ROSSER AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982658134 | Thomas P Hutchens | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-05-20 |
| 1023422805 | Djaninn Mckibben | Physician Assistant | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2014-06-19 |
| 1265872212 | Heather Sandness Nelson | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2013-07-04 |
| 1033125869 | Charlene Sampson | Pharmacist | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-08-01 |
| 1548276371 | Heritage Pharmacy East, Inc | Pharmacy | 1000 E Rosser Ave, Bismarck, ND 58501-4512 | 2006-08-01 |
| 1679518484 | Anne M Earsley | Physician Assistant | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-06-17 |
| 1629012695 | John M Witt | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-06-16 |
| 1174561617 | Melanie A Schlittenhardt | Nurse Practitioner | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-06-04 |
| 1952348559 | Robert J Bury | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-06-01 |
| 1124075619 | Stacie L Moritz | Physician Assistant | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124228630 | Peter L Klemin | Obstetrics & Gynecology | 414 N. 7th St., Medcenter One, Inc., Bismarck, ND 58501 | 2007-07-23 |
| 1982658134 | Thomas P Hutchens | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-05-20 |
| 1265872212 | Heather Sandness Nelson | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2013-07-04 |
| 1265871826 | Rachel W. Peterson | Obstetrics & Gynecology | 414 N 7th St, Bismarck, ND 58501-4423 | 2013-06-17 |
| 1760773824 | Kristin Streifel Gray | Obstetrics & Gynecology | 414 N 7th St, Bismarck, ND 58501-4423 | 2011-04-25 |
| 1083904056 | Jessica D Sedevie | Obstetrics & Gynecology | 414 N 7th St, Bismarck, ND 58501-4423 | 2011-04-12 |
| 1437461225 | Megan M Miller Pankratz | Obstetrics & Gynecology | 414 N 7th St, Bismarck, ND 58501-4423 | 2010-07-08 |
| 1336377357 | Stephanie Michael Delvo | Obstetrics & Gynecology | 401 N 9th St, Bismarck, ND 58501-4530 | 2009-06-29 |
| 1437314473 | Jill M Steinle | Obstetrics & Gynecology | 401 N 9th St, Bismarck, ND 58501-4530 | 2008-07-18 |
| 1194925891 | Christopher J Danielson | Obstetrics & Gynecology | 222 N 7th St, Bismarck, ND 58501-4436 | 2007-07-20 |
| Find all providers in BISMARCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.