NICHOLAS COREN BRADBURY


Address: 310 N 10th St, Bismarck, ND 58501-4516
Phone: 7015307500

NICHOLAS COREN BRADBURY (NPI# 1801110101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801110101
Entity Type Individual
Full Name NICHOLAS COREN BRADBURY
Credential M.D.
Practice Address 310 N 10th St
Bismarck
ND 58501-4516
Mailing Address Po Box 2698
Bismarck
ND 58502-2698
Practice Telephone 7015307500
Practice Fax Number 7015307484
Mailing Telephone 7015307500
Mailing Fax Number 7015307484
Enumeration Date 2010-03-16
Last Update Date 2014-08-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MT193226 PA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
13303 ND Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
8614430-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 310 N 10TH ST
City BISMARCK
State ND
Zip Code 58501-4516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396724282 Todd M Preszler Anesthesiology 310 N 10th St, Bismarck, ND 58501-4516 2006-01-10
1174184832 Anita M Fru Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2019-06-24
1366007288 Sarah Andes Social Worker 310 N 10th St, Bismarck, ND 58501-4516 2019-05-06
1477047447 Jacklene Hoffman Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2018-06-21
1528409505 Tana Bock Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2013-07-08
1962842120 Megan Fettig Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2013-07-02
1538506696 Andrea Rudnick Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2013-05-30
1346504016 Sara Lynn Wiedrich Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2012-06-27
1013233436 Amanda Susan Braaten Anesthesiology 310 N 10th St, Bismarck, ND 58501-4516 2010-04-09
1356678296 Cynthia Folk Nurse Practitioner 310 N 10th St, Bismarck, ND 58501-4516 2009-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811500911 Sonja Lee Bosch Counselor 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 2020-08-28
1649740630 Stephanie Marie Simburger Social Worker 3111 East Broadway Ave, Bismarck, ND 58501 2018-12-03
1679042519 Prairie Rose Family Dentists Dentist 1110 College Dr., Suite 110, Bismark, ND 58501 2018-11-21
1386111276 Arielle Joy Flynn Genetic Counselor, MS 414 N Seventh Street, Bismarck, ND 58501 2018-10-29
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1518457811 Myckenzie Saari Behavior Technician 1929 N Washington St., Bismarck, ND 58501 2018-05-14
1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
1710403811 Kayla Marie Watson Behavior Technician 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 2017-08-21
1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
1144670019 Bismarck Psychological Associates, Pllc Psychologist 107 W. Main Ave., Suite 225, Bismarck, ND 58501 2016-06-21
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336481415 Barry Joseph Amos Radiology 1 Burdick Expy W, Minot, ND 58701-4406 2013-03-26
1003044975 Adam John Defoe Radiology 3000 32nd Ave S, Fargo, ND 58103-6132 2009-06-30
1992949325 Richard Monroe Penney Radiology 5225 23rd Ave S, Fargo, ND 58104-7927 2009-04-29
1629236690 Sridhar Naidu Radiology #1 Burdick Expy W, Minot, ND 58701-4406 2008-05-27
1154417418 Randall J Smith Radiology 1200 S Columbia Rd, Grand Forks, ND 58201-4036 2006-10-05
1063508323 Gerald S Smyser Radiology 1200 S Columbia Rd, Grand Forks, ND 58201-4036 2006-10-05
1669490264 Eric R Promersberger Radiology 801 Broadway N, Fargo, ND 58102-3641 2006-07-18

Competitor

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City BISMARCK
Zip Code 58501

Improve Information

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Dataset Information

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.

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