BRADLEY TETLOW (NPI# 1013327469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013327469 |
| Entity Type | Individual |
| Full Name | BRADLEY TETLOW |
| Credential | RPH |
| Practice Address |
3757 Plainfield Ave Ne Grand Rapids MI 49525-2403 |
| Practice Telephone | 6163651433 |
| Practice Fax Number | 6163651465 |
| Mailing Telephone | 6163651433 |
| Mailing Fax Number | 6163651465 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302026046 | MI | Pharmacy Service Providers |
| Street Address |
3757 PLAINFIELD AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235278052 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2007-02-06 |
| 1245747518 | Tiffany Elaine Agate | Pharmacist | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2018-01-08 |
| 1679955025 | Kaden Stern | Pharmacist | 3757 Plainfield Ave Ne, Pharmacy, Grand Rapids, MI 49525-2403 | 2015-06-22 |
| 1033529771 | John Yonkers | Pharmacist | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2014-05-03 |
| 1194135806 | Carol Kenworthy | Pharmacist | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2014-05-02 |
| 1265642532 | Carol Lynn Rossman | Nurse Practitioner | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861729675 | Gary Alan Vachon | Pharmacist | 3876 E Paris Ave Se, Suite 13, Grand Rapids, MI 49512-3974 | 2009-11-16 |
| 1215053004 | Kimberly Kaye Daugherty | Pharmacist | 21 Michigan St Ne Ste 425, Grand Rapids, MI 49503-2530 | 2007-03-22 |
| 1851918551 | Lacy J Worden | Pharmacist | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2020-06-29 |
| 1619446028 | Bradley James Buurma | Pharmacist | 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 | 2018-11-14 |
| 1407208374 | Christine Allison Stever | Pharmacist | 100 Michigan St Ne, Suite 1830, Grand Rapids, MI 49503-2560 | 2016-07-05 |
| 1215334859 | Donald Myers | Pharmacist | 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 | 2014-11-25 |
| 1306257050 | Arinzechukwu Nkemdirim Okere | Pharmacist | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2014-05-15 |
| 1285045294 | Hetal Patel | Pharmacist | 2425 Alpine Ave Nw, Grand Rapids, MI 49544-1956 | 2014-05-13 |
| 1871903120 | April D Fluit | Pharmacist | 315 Wilson Ave Nw, Grand Rapids, MI 49534-3554 | 2014-05-07 |
| 1033529771 | John Yonkers | Pharmacist | 3757 Plainfield Ave Ne, Grand Rapids, MI 49525-2403 | 2014-05-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on BRADLEY TETLOW.
| 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.