BRADLEY RICHARD BROSSARD (NPI# 1457968687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457968687 |
| Entity Type | Individual |
| Full Name | BRADLEY RICHARD BROSSARD |
| Credential | NP-C |
| Practice Address |
410 Dewey St Wisconsin Rapids WI 54494-4715 |
| Practice Telephone | 6082895228 |
| Mailing Telephone | 7154236060 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 10458-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
410 DEWEY ST |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip Code | 54494-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374575 | Mcdonough Orthopaedic and Sports Medicine Center Sc | Clinic/Center | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2005-08-26 |
| 1801449541 | Jatra LLC | Clinic/Center | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2019-07-22 |
| 1578121828 | Kelly Ann Brusky | Physician Assistant | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2019-06-02 |
| 1902379613 | Karron Leigh Cohoon | Nurse Practitioner | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2019-01-04 |
| 1306312319 | Krista Ann Hafenbredl | Nurse Practitioner | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2018-10-17 |
| 1659856375 | Rebecca Anne Fetterer | Nurse Practitioner | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2018-09-27 |
| 1942725676 | Christine Feder | Nurse Practitioner | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2017-08-03 |
| 1447798400 | Aspirus Riverview Hospital & Clinics, Inc. | General Acute Care Hospital | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2017-02-09 |
| 1215480421 | Florence Tavera Neilitz | Physician Assistant | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2016-07-25 |
| 1255723375 | Coast To Coast Wisconsin LLC | Emergency Medicine | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2015-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114556057 | Danny Thomas O'day | Massage Therapist | 2841 Saratoga St., Wisconsin Rapids, WI 54494 | 2020-04-03 |
| 1588184584 | Debra Lee Eberhardy | Acupuncturist | 400 Daly Avenue, Suite 101, Wisconsin Rapids, WI 54494 | 2017-06-21 |
| 1235687716 | Jessica Lynn Noah | Marriage & Family Therapist | 3930 8th St. So., Ste 101, Wisconsin Rapids, WI 54494 | 2016-09-14 |
| 1700332079 | Tammy Marie Fischer | Social Worker | 3908 8th Street South, Suite 101, Wisconsin Rapids, WI 54494 | 2016-08-28 |
| 1720447675 | Marita Lynn Verhalen | Occupational Therapist | 410 Dewey St, Wisconsin Rapids, WI 54494 | 2016-02-21 |
| 1346656469 | Lori Kroening | Counselor | 2509 8th Street S, Wisconsin Rapids, WI 54494 | 2014-07-09 |
| 1104166305 | Shannon Colleen Huff | Psychologist | 531 3rd St S, Wisconsin Rapids, WI 54494 | 2013-02-25 |
| 1245589787 | Jennifer J Derousseau | Social Worker | 2611 12th Street South, Wisconsin Rapids, WI 54494 | 2012-08-30 |
| 1922200575 | Thomas Harrison Raabe | Optometrist | 132 East Grand Ave, Wisconsin Rapids, WI 54494 | 2007-06-05 |
| 1508901067 | Michael J Downs | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494 | 2007-02-21 |
| Find all providers in zip 54494 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659856375 | Rebecca Anne Fetterer | Nurse Practitioner | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2018-09-27 |
| 1083132526 | Katie Marie Omernik | Nurse Practitioner | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 2017-09-05 |
| 1235426792 | Robert W. Beauvais | Nurse Practitioner | 220 24th St S, Wisconsin Rapids, WI 54494-1908 | 2011-07-06 |
| 1700109196 | Tracy L Joosten | Nurse Practitioner | 2031 Peach St, Wisconsin Rapids, WI 54494-5181 | 2010-03-12 |
| 1053429233 | Mary K Schwanebeck | Nurse Practitioner | 410 Dewey St, Wisconsin Rapids, WI 54494-4715 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | WISCONSIN RAPIDS |
| Zip Code | 54494 |
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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.