DR. BRADLEY CAMP (NPI# 1669889689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669889689 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY CAMP |
| Credential | DDS |
| Practice Address |
415 East Wall Street Eagle River WI 54521 |
| Practice Telephone | 7154794222 |
| Mailing Telephone | 7154794222 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1000965-15 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786093 | Bradley S Camp | Optometrist | 103 N Front St, North Manchester, IN 46962-1529 | 2005-08-09 |
| Street Address |
415 EAST WALL STREET |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| 1700962974 | Kurt William Klemm | Physical Therapist | 528 Hwy 70 W, Eagle River, WI 54521 | 2006-10-31 |
| Find all providers in zip 54521 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1063760593 | Courtney Burrill | Dentist | 17101 Snowmobile Ln Ste 107, Eagle River, AK 99577-7043 | 2012-08-15 |
| 1790002335 | Brad Woodring | Dentist | 10928 Eagle River Rd Ste 105, Eagle River, AK 99577-8079 | 2010-04-21 |
| 1124254644 | Jason Potrykus | Dentist | 213 Railroad St, Eagle River, WI 54521-8139 | 2009-06-10 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1699950451 | Bryan J Enghirst | Dentist | 11431 Business Blvd Ste 5, Eagle River, AK 99577-7738 | 2007-12-28 |
| 1891997185 | James V Penfield | Dentist | 12641 Old Glenn Hwy Suite 101, Eagle River, AK 99577 | 2007-05-31 |
| 1366654659 | Joseph Patrick Caterinichio | Dentist | 11723 Old Glenn Highway, Suite 213, Eagle River, AK 99577 | 2007-05-07 |
| 1538387790 | Michael R Sanders | Dentist | 13015 Old Glenn Hwy, #200, Eagle River, AK 99577 | 2007-04-23 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on DR. BRADLEY CAMP.
| 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.