BRADLEY W ERICKSON (NPI# 1982734208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982734208 |
Entity Type | Individual |
Full Name | BRADLEY W ERICKSON |
Credential | M.D. |
Practice Address |
550 S Landmark Ave Bloomington IN 47403-3239 |
Practice Telephone | 8123313400 |
Practice Fax Number | 8123327265 |
Mailing Telephone | 8123313400 |
Mailing Fax Number | 8123327265 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01059864A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200864920 | 05 | |
IN | 200165460 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164679262 | Bradley A Erickson | Urology | 200 Hawkins Dr, Iowa City, IA 52242-1007 | 2008-08-20 |
1447385521 | Bradley Scott Erickson | Dentist | 7117 Hickman Road, Urbandale, IA 50322 | 2007-02-22 |
1821106659 | Bradley Lief Erickson | Psychiatry & Neurology | 1 Medical Center Dr, Department of Psychiatry, Lebanon, NH 03756-1000 | 2006-08-29 |
1265411748 | Bradley J Erickson | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-12 |
Street Address |
550 S LANDMARK AVE |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-3239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760487623 | Jean A. Creek | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-06-16 |
1225657877 | Valerie Mccullough | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-04-14 |
1104454768 | Haley C Richardson | Physician Assistant | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-03-30 |
1669003489 | Keira Bex | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-01-30 |
1992341770 | Melisse Nicole Ferree Gladwell | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-11-27 |
1841845658 | Rachael M Hamelink | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-08-08 |
1023592300 | Danielle Lee Rogers | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2018-09-21 |
1508382003 | Hilary Anderson | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-08-16 |
1205364494 | Hena Naz Shah | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-06-01 |
1164957338 | Amanda Butcher | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403 | 2017-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
Find all providers in zip 47403 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639356447 | Mohamed Magdy Abou-rayan | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2008-01-23 |
1790714285 | David S West | Internal Medicine | 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 | 2006-06-30 |
1437145273 | Ravindra Kashyap | Internal Medicine | 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 | 2005-09-27 |
1215923065 | Kishore M Karamchandani | Internal Medicine | 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 | 2005-09-26 |
1326043126 | Wesley W Ratliff | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-06-17 |
1467457234 | Russell J. Dukes | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
1134464209 | Sneeze & Snooze Clinic, P C. | Internal Medicine | 2417 S. Berkshire Dr., Gashen, IN 46526-6815 | 2012-11-30 |
1215268875 | Roy Mason Arnold | Internal Medicine | 525 Audubon Dr, Evansville, IN 47715-3605 | 2010-01-21 |
1225294630 | G Terence Reuland | Internal Medicine | 19378 Par Dr, Lawrenceburg, IN 47025-7938 | 2008-08-05 |
1497923486 | Medical Clinics of America | Internal Medicine | 1402 173rd St, Hammond, IN 46324-2861 | 2008-02-13 |
1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
1801939749 | Freedom Healthcare, Inc. | Internal Medicine | 1215 Washington Sq, Evansville, IN 47715-6807 | 2007-02-14 |
1972675189 | Chest & Sleep Consultants | Internal Medicine | 952 S State Road 2, Valparaiso, IN 46385-6322 | 2006-11-14 |
1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 47403 |
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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.