BRAD KALLEBERG (NPI# 1295125409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295125409 |
| Entity Type | Individual |
| Full Name | BRAD KALLEBERG |
| Credential | RT (R) |
| Practice Address |
38777 6 Mile Rd Livonia MI 48152-2694 |
| Practice Telephone | 7344520395 |
| Practice Fax Number | 8774149925 |
| Mailing Telephone | 7344520395 |
| Mailing Fax Number | 8774149925 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 471704 | MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
38777 6 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619188877 | Annmarie Alfieri | Physical Therapist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2007-05-26 |
| 1992241459 | Lama Samir Farah | Speech-Language Pathologist | 38777 6 Mile Rd, Suite 209, Livonia Mi 48152, Livonia, MI 48152-2694 | 2017-01-09 |
| 1477002848 | Lindsey Krajewski | Occupational Therapist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2016-09-27 |
| 1821441510 | Karena Herdell | Physical Therapy Assistant | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2016-07-18 |
| 1881043750 | Matthew Rhys Sypniewski | Physical Therapy Assistant | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2016-06-10 |
| 1750738076 | Kimberly Seaman | Physical Therapy Assistant | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2016-05-17 |
| 1548616691 | Leslie Szubeczak Talty | Speech-Language Pathologist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2016-05-09 |
| 1326409418 | Ines Ucros | Physical Therapist | 38777 6 Mile Rd, Suit 209, Livonia, MI 48152-2694 | 2016-03-16 |
| 1811353170 | Maria Tobar | Physical Therapist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2016-01-01 |
| 1447624721 | Linda J. Botu | Occupational Therapy Assistant | 38777 6 Mile Rd, Livonia, MI 48152-2694 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063802270 | Veliisha Brown | Radiologic Technologist | 38777 6 Mile Rd, Suite 209, Livonia, MI 48152-2694 | 2015-01-26 |
| 1457740631 | Brittney Roach | Radiologic Technologist | 38777 6 Mile Rd, #209, Livonia, MI 48152-2694 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831440593 | Donald Gene Graham | Radiologic Technologist | 2751 Woodlake Rd Sw Apt 2, Wyoming, MI 49519-4653 | 2012-09-20 |
| 1275864464 | Robin Edward Feringa | Radiologic Technologist | 76181 33rd St, Lawton, MI 49065-9343 | 2010-01-27 |
| 1659592350 | Christine Mcneil | Radiologic Technologist | 7852 Rockcress Dr, Freeland, MI 48623-8431 | 2007-05-01 |
| 1356741946 | Skin Cancer Treatment Center of Michigan | Radiologic Technologist | 2246 N Monroe St, Ste 3, Monroe, MI 48162-4254 | 2014-09-02 |
| 1487091997 | Jason Wayne Jones | Radiologic Technologist | 205 N East Ave, Jackson, MI 49201-1753 | 2013-05-24 |
| 1841522141 | Michigan Visiting Physicians | Radiologic Technologist | 6240 Rashelle Dr, Suite 103, Flint, MI 48507-3934 | 2010-02-11 |
| 1487832895 | Rachelle Bigras | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-07 |
| 1992983951 | Rochelle Shipway | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-01 |
| 1700064763 | Terresa Jeanette Pauline Hecox | Radiologic Technologist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-02-01 |
| 1730366840 | Dale Michael Miller | Radiologic Technologist | 27207 Lahser Rd, Ste 200b, Southfield, MI 48034-2168 | 2008-01-31 |
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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.