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).
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 |
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 |
Street Address |
310 N 10TH ST |
City | BISMARCK |
State | ND |
Zip Code | 58501-4516 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 58501 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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 |
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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.