BRADLEY ALLEN OLSON (NPI# 1558595785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558595785 |
| Entity Type | Individual |
| Full Name | BRADLEY ALLEN OLSON |
| Credential | IDMT, NREMT-P, RN |
| Practice Address |
25 Black Wash Way Henderson NV 89074-6324 |
| Mailing Address |
58 Rqs/dosm 10212 Seymour Johnson Rd Bldg 10202 Apo AP 89191 |
| Practice Telephone | 7025241022 |
| Mailing Telephone | 7026533507 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659659159 | Bradley Owen Olson | Chiropractor | 1312 Delaware St Nw, Hutchinson, MN 55350-3301 | 2011-08-01 |
| 1497867584 | Bradley Thomas Olson | Physical Therapist | 1750 105th Ave Ne, Blaine, MN 55449 | 2006-08-31 |
| 1366052334 | Bradley Michael Olson | Chiropractor | 2424 E 117th St, Burnsville, MN 55337-1269 | 2020-08-05 |
| 1871762997 | Bradley Richard Olson | Podiatrist | 1702 University Dr S, Fargo, ND 58103-4940 | 2008-02-22 |
| 1366595282 | Bradley W. Olson | Psychologist | 3375 N Arlington Heights Rd, Suite F, Arlington Heights, IL 60004-7701 | 2007-01-22 |
| 1083772123 | Bradley J Olson | Dentist | 3450 Old Washington Rd, Suite 301, Waldorf, MD 20602 | 2006-12-04 |
| 1417982802 | Bradley Allen Olson | Counselor | 222 N Verde St, Flagstaff, AZ 86001-4636 | 2006-07-12 |
| 1154365369 | Bradley Garrett Olson | Pediatrics | 2800 N Vancouver Ave, Ste 165, Portland, OR 97227-1630 | 2006-06-16 |
| 1265486062 | Bradley D Olson | Family Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2006-05-19 |
| 1093783706 | Bradley Kent Olson | Family Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2006-03-09 |
| Street Address |
25 BLACK WASH WAY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078257 | Matthew Harrison | Military Health Care Provider | 1421 Airport Rd Ste 100, Boulder City, NV 89005-3659 | 2019-11-25 |
| 1427525831 | John Varner | Military Health Care Provider | 3832 Prairie Orchid Ave, North Las Vegas, NV 89081-4029 | 2018-10-24 |
| 1033607478 | Steven Correa | Military Health Care Provider | 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 | 2018-05-01 |
| 1518483320 | Jessica Ann Ewers | Military Health Care Provider | 8701 W Gilmore Ave, Las Vegas, NV 89129-7687 | 2017-08-15 |
| 1194085472 | Brianne Wadtke | Military Health Care Provider | 405 Prairie Moon Ave, North Las Vegas, NV 89084-1257 | 2012-05-21 |
| 1235401621 | Jeremy Michael Greeley | Military Health Care Provider | 5221 Puma Ct, North Las Vegas, NV 89031-0704 | 2012-02-01 |
| 1306175096 | Ta'wana L Jones | Military Health Care Provider | 1900 Las Vegas Blvd, Las Vegas, NV 89110 | 2009-12-09 |
| 1902037344 | Olekachi Jean Thomas | Military Health Care Provider | 5537 Diano Marina Ct, North Las Vegas, NV 89081-4078 | 2009-08-03 |
| 1447480801 | Louis Ruben Naungayan | Military Health Care Provider | 2918 Paradise Hill Ct, North Las Vegas, NV 89031-0539 | 2009-07-20 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| Find all providers with the same taxonomy | ||||
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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.