DR. BRADLEY RICHARD OLSON (NPI# 1871762997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871762997 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY RICHARD OLSON |
| Credential | DPM |
| Practice Address |
1702 University Dr S Fargo ND 58103-4940 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7013643300 |
| Practice Fax Number | 7013648906 |
| Mailing Telephone | 7013643300 |
| Mailing Fax Number | 7013648906 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2014-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
70 | ND | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
797 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1871762997 | 05 | |
| ND | 18500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659659159 | Bradley Owen Olson | Chiropractor | 1312 Delaware St Nw, Hutchinson, MN 55350-3301 | 2011-08-01 |
| 1558595785 | Bradley Allen Olson | Military Health Care Provider | 25 Black Wash Way, Henderson, NV 89074-6324 | 2009-05-01 |
| 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 |
| 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 |
1702 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223023 | Kimberly Rae Kelly | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2005-08-26 |
| 1467060046 | Jessica Marie Munro | Optometrist | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-07-20 |
| 1972132249 | Kalee Irene Wysuph | Student in an Organized Health Care Education/Training Program | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-04-07 |
| 1699314617 | April M Sweet | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-12-23 |
| 1427603588 | Annelise Sterneman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-08-06 |
| 1518511799 | Morgan A Schmitz | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-26 |
| 1093367799 | Josalyn J Grueneich | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-12 |
| 1295395176 | Amanda J Coronato | Occupational Therapist | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-06-13 |
| 1962976068 | Moriah M Anderson | Dietitian, Registered | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-01-11 |
| 1811489743 | Karli Lenae Roman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023363587 | Robert Renschler | Podiatrist | 1702 South University Drive, Eh South University Clinic, Fargo, ND 58103-4940 | 2012-07-19 |
| 1487917340 | John Paul Naughton | Podiatrist | 1720 University Dr S, Fargo, ND 58103-4940 | 2012-06-15 |
| 1396766630 | Timothy P Uglem | Podiatrist | 2400 32nd Ave S, Fargo, ND 58103 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073979845 | Capital Foot and Ankle | Podiatrist | 136 W Edmonton Dr, Bismarck, ND 58503-0224 | 2016-01-11 |
| 1164647822 | Grand Forks Foot and Ankle Clinic, Pllc | Podiatrist | 1451 44th Ave S Ste 128d, Grand Forks, ND 58201-3434 | 2007-04-16 |
| 1902873458 | Brian D Gale | Podiatrist | 1733 E Capitol Ave, Bismarck, ND 58501-2150 | 2006-03-03 |
| 1649240557 | Clark J Fullmer II | Podiatrist | 2615 Fairway St, Dickinson, ND 58601 | 2006-01-24 |
| 1346669082 | Yashraj Chauhan | Podiatrist | 3035 Demers Ave, Grand Forks, ND 58201 | 2014-04-09 |
| 1962753749 | Accessible Podiatry, P.C. | Podiatrist | 3 4th St E, Suite 102, Williston, ND 58801-5350 | 2012-09-20 |
| 1043574460 | Rachael Renschler | Podiatrist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2012-06-29 |
| 1487945630 | Guy K Slann | Podiatrist | 3 4th St E, Suite 102, Williston, ND 58801-5350 | 2011-04-22 |
| 1295044212 | Aaron J Albers | Podiatrist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2010-09-26 |
| 1215244041 | Gregory Iwaasa | Podiatrist | 401 N 9th St, Bismarck, ND 58501-4530 | 2010-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRADLEY RICHARD OLSON.
| 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.