BRADLEY A PETERSON (NPI# 1407274822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407274822 |
| Entity Type | Individual |
| Full Name | BRADLEY A PETERSON |
| Credential | M.D. |
| Practice Address |
10625 W North Ave Ste 102 Milwaukee WI 53226-2315 |
| Mailing Address |
10625 W North Avenue Suite 102 Milwaukee WI 53226-2315 |
| Practice Telephone | 4148775350 |
| Practice Fax Number | 4148775360 |
| Mailing Telephone | 4148775350 |
| Mailing Fax Number | 4148775360 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 65340-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518265735 | Bradley Lewis Peterson | Counselor | 11105 Ne 14th St, Suite 103, Vancouver, WA 98684-4308 | 2011-03-11 |
| 1225045578 | Bradley E. Peterson | Pharmacist | 184 Vallette St, Cranston, RI 02920-6224 | 2006-08-01 |
| 1790717817 | Bradley R Peterson | Chiropractor | 1878 W 3600 S, West Valley City, UT 84119-3893 | 2006-07-07 |
| 1376993774 | Bradley G Peterson | Physical Therapist | 355 E Erie St, Chicago, IL 60611-3167 | 2016-06-16 |
| 1235557638 | Bradley Steinar Peterson | Emergency Medicine | One Hospital Drive, Columbia, MO 65212-0001 | 2014-04-02 |
| 1093868663 | Bradley S Peterson | Psychiatric Unit | 1051 Riverside Dr, Unit 74, New York, NY 10032-1007 | 2007-01-18 |
| 1811058365 | Bradley Redge Peterson | Dentist | 61 N Willow St, Suite 1, Mesquite, NV 89027-4785 | 2006-12-12 |
| 1578597050 | Bradley M. Peterson | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-07-10 |
| 1912953746 | Bradley J Peterson | Anesthesiology | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2006-05-25 |
| 1730145269 | Bradley A Peterson | Emergency Medicine | 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 | 2006-04-24 |
| Street Address |
10625 W NORTH AVE STE 102 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669452413 | Dean O Schiller | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2006-01-18 |
| 1215423512 | Jordan Pendergast | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2018-07-10 |
| 1275029860 | Brittni Marie Strege | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2018-07-06 |
| 1063921781 | Nicole Elizabeth Forbord | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2017-09-26 |
| 1841715679 | Nathan P. Bell | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2017-08-14 |
| 1902341571 | Patrick R. Foley | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2017-01-05 |
| 1730537168 | Hailee I. Holt | Physician Assistant | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2016-05-26 |
| 1780047530 | Andrew Lawrence Ricci | Emergency Medicine | 10625 W North Ave Ste 102, Milwaukee, WI 53226-2315 | 2016-03-30 |
| 1154783165 | Benjamin J Krause | Emergency Medicine | 10625 W North Ave Ste 102, Milwaukee, WI 53226 | 2016-03-28 |
| 1548622947 | John T Teijido | Emergency Medicine | 10625 W North Ave Ste 102, Milwaukee, WI 53226 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| 1285963116 | Randall Levin | Emergency Medicine | 201 W Bergen Dr, Milwaukee, WI 53217-2308 | 2009-12-24 |
| 1003935925 | Andrea Michelle Kraus | Emergency Medicine | 3237 S 16th St Ste 100, Milwaukee, WI 53215-4526 | 2007-03-29 |
| 1427147990 | Nancy L. Dovin | Emergency Medicine | 2104 N Hi Mount Blvd, Milwaukee, WI 53208-1111 | 2006-10-12 |
| 1750304283 | Kimberly A Ridl | Emergency Medicine | 4500 National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
| 1821013277 | Gail Hendley | Emergency Medicine | 500 W Chambers St, Milwaukee, WI 53212-2308 | 2006-07-13 |
| 1356396840 | Kelly Hedlund Kanter | Emergency Medicine | 111 E Wisconsin Avenue, Milwaukee, WI 53202-4815 | 2006-05-23 |
| Find all providers in MILWAUKEE | ||||
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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.