BRADLEY THOMAS WAGNER (NPI# 1043581770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043581770 |
| Entity Type | Individual |
| Full Name | BRADLEY THOMAS WAGNER |
| Credential | CRNA |
| Practice Address |
3314 Leyton Ln Madison WI 53713-3407 |
| Practice Telephone | 6082196002 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 190070-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720583842 | Bradley Jay Wagner | Counselor | 1321 Wyoming St, Missoula, MT 59801-1725 | 2018-03-29 |
| 1750776605 | Bradley Wagner | Hearing Instrument Specialist | 1655 Tamiami Trl, Port Charlotte, FL 33948-1042 | 2015-03-30 |
| 1184766362 | Bradley Mann Wagner | Physical Therapist | 616 Executive Park, Louisville, KY 40207-4206 | 2007-02-13 |
| Street Address |
3314 LEYTON LN |
| City | MADISON |
| State | WI |
| Zip Code | 53713-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1912447913 | Emily R Stewart | Nurse Anesthetist, Certified Registered | 1994 Gallatin Pike N # 102, Madison, TN 37115-2026 | 2017-02-24 |
| 1053790972 | Rest Assured Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1200 John Q Hammons Dr Ste 102, Madison, WI 53717-1967 | 2015-05-26 |
| 1902295124 | William George Turk | Nurse Anesthetist, Certified Registered | 112 Riverchase Blvd, Madison, TN 37115-2031 | 2015-01-12 |
| 1336445329 | Courtney Mcguigan | Nurse Anesthetist, Certified Registered | 41 Edinburgh Ln, Madison, CT 06443-3411 | 2011-02-08 |
| 1841509445 | Tabatha Jo Berry | Nurse Anesthetist, Certified Registered | 420 Throckmorton Rd, Madison, NC 27025-7940 | 2010-09-29 |
| 1538497573 | John Christopher Simmons | Nurse Anesthetist, Certified Registered | 159 Seville Way, Madison, MS 39110-8171 | 2009-12-03 |
| 1821166943 | Therese Marie Donnelly | Nurse Anesthetist, Certified Registered | 76 Genesee Lane, Madison, CT 06443 | 2006-11-30 |
| 1659333201 | Michael G Landgraf | Nurse Anesthetist, Certified Registered | 20 Park Street, Ste #360, Madison, WI 53715 | 2006-04-06 |
| 1043286099 | Wilma K Gillis | Nurse Anesthetist, Certified Registered | 7 Fuller Dr, Madison, WI 53704 | 2006-02-28 |
| Find all providers in MADISON | ||||
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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.