BRADLEY CRNOBRNA (NPI# 1366838781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366838781 |
| Entity Type | Individual |
| Full Name | BRADLEY CRNOBRNA |
| Credential | LADC |
| Practice Address |
8451 E Point Douglas Rd S Cottage Grove MN 55016-3331 |
| Practice Telephone | 6512558583 |
| Practice Fax Number | 6514585632 |
| Mailing Telephone | 6512558583 |
| Mailing Fax Number | 6514585632 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303881 | MN | Behavioral Health & Social Service Providers |
| Street Address |
8451 E POINT DOUGLAS RD S |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912929340 | Jessica Torrey | Social Worker | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2006-07-24 |
| 1174006431 | Angela Gallagher | Social Worker | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2018-09-12 |
| 1689179954 | Nancy Lynn Jordan | Counselor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2018-03-28 |
| 1598203119 | Gina Marie Breci | Counselor | 8451 E Point Douglas Rd S, #30, Cottage Grove, MN 55016-3331 | 2017-02-02 |
| 1376995100 | Haran Kingstan | Psychologist | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2016-07-05 |
| 1831571983 | Danielle Buchal | Counselor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2015-06-25 |
| 1215211362 | Katrina Samlaska | Psychologist | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2011-10-07 |
| 1518175462 | Eric Nohner, LLC | Chiropractor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2007-05-21 |
| 1942413604 | Chad Beiler D.c., P.a. | Chiropractor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2007-05-08 |
| 1225184716 | Chad L Beiler | Chiropractor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372302 | Ann R Cook | Counselor | 7501 80th St S Ste 108, Cottage Grove, MN 55016-4121 | 2019-05-22 |
| 1578085924 | Lennee Clark | Counselor | 75 S 5th St, Cottage Grove, OR 97424-2008 | 2017-07-07 |
| 1952769093 | Scott Reynolds | Counselor | 710 Adams Ave, Cottage Grove, OR 97424-2117 | 2016-02-03 |
| 1427370139 | Valeria Lf Clarke | Counselor | 55 S 17th St, Cottage Grove, OR 97424 | 2010-02-22 |
| 1538293915 | Avalon Programs LLC | Counselor | 7501 80th Street South, Suite 102, Cottage Grove, MN 55016 | 2007-03-15 |
| 1447721006 | Katie Ann Lytle | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2018-12-07 |
| 1689179954 | Nancy Lynn Jordan | Counselor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2018-03-28 |
| 1497262851 | Maryah L Brasher | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2018-01-08 |
| 1518496496 | Rebecca Fitkin | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2017-06-05 |
| 1598203119 | Gina Marie Breci | Counselor | 8451 E Point Douglas Rd S, #30, Cottage Grove, MN 55016-3331 | 2017-02-02 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on BRADLEY CRNOBRNA.
| 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.