BRADY WENDELL ANDERSON (NPI# 1245742337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245742337 |
| Entity Type | Individual |
| Full Name | BRADY WENDELL ANDERSON |
| Credential | PA |
| Practice Address |
300 2nd Ave Ne Jamestown ND 58401 |
| Mailing Address |
2201 N Ursula St Apt 6-327 Aurora CO 80045-7430 |
| Practice Telephone | 7012516000 |
| Mailing Telephone | 4063692030 |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAC0710 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212819 | Brady Anderson | Social Worker | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-07-07 |
| 1043668478 | Brady Anderson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-05-26 |
| 1871661124 | Brady E Anderson | Surgery | 7200 Wyoming Spgs, Suite 500, Round Rock, TX 78681-4303 | 2006-12-02 |
| Street Address |
300 2ND AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457752 | Paula M Marker | Physical Therapist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2006-06-18 |
| 1508489873 | Andrea Christine Boerger | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2020-05-21 |
| 1871079541 | Deanna Joyce Weiser | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2018-07-16 |
| 1568968394 | Rebecca Anne Kuss | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2018-04-02 |
| 1275984635 | Carla Aberle | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-06-28 |
| 1932557360 | Tina Bear | Registered Nurse | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-05-26 |
| 1316316821 | Joleen Sprenger | Counselor | 300 2nd Ave Ne, #221, Jamestown, ND 58401-3373 | 2015-09-15 |
| 1679956635 | Teresa Rittenbach | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-07-08 |
| 1669855151 | Taryn Nicole Boom | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2015-07-02 |
| 1457748006 | Briana Bohn | Optometrist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914646 | Jessica Jankowiak | Physician Assistant | 15 S Main St Ste 170, Jamestown, NY 14701-6627 | 2019-10-22 |
| 1750865200 | Shawna Ann Alonge | Physician Assistant | 103 Allen St, Jamestown, NY 14701-6968 | 2018-09-20 |
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1780780080 | Marianne T Schroeder | Physician Assistant | Wca Hospital, 207 Foote Ave, Jamestown, NY 14701 | 2006-09-15 |
| 1285738427 | Angela M Volk | Physician Assistant | 721 1st Ave S Ste A, Jamestown, ND 58401 | 2006-09-08 |
| 1215942057 | Jody Saltern Tanner | Physician Assistant | 721 1st Ave S Unit A, Jamestown, ND 58401-4723 | 2006-07-30 |
| 1811988801 | Gust P Verleni | Physician Assistant | 890 E Second St, Jamestown, NY 14701 | 2005-10-31 |
| 1306447214 | Josiah Blanchard | Physician Assistant | 207 Foote Ave, Jamestown, NY 14701-7077 | 2020-11-06 |
| 1861028623 | Leda Marie Marangoni | Physician Assistant | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-03-12 |
| 1659841542 | Jessica Whitney Ingemansen | Physician Assistant | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2018-12-04 |
| Find all providers in JAMESTOWN | ||||
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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.