MR. BRADLEY DANIEL CHMIELEWSKI (NPI# 1063618023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063618023 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY DANIEL CHMIELEWSKI |
| Credential | M.D. |
| Practice Address |
4050 Coon Rapids Blvd Mercy Hospital Coon Rapids MN 55433-2522 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7632369429 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
49124 | MN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
49124 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4050 COON RAPIDS BLVD MERCY HOSPITAL |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417924739 | Mark S Luger | Emergency Medicine | 4050 Coon Rapids Blvd, Coon Rapids, MN 55433 | 2006-03-06 |
| 1205284445 | Julie Brisco | Psychologist | 4050 Coon Rapids Blvd, Coon Rapids, MN 55311 | 2016-05-27 |
| 1255549978 | Sharon Sweeney Carmody | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2007-05-18 |
| 1134157936 | Amanda M Baker | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-06-29 |
| 1811952724 | Laura Contreras | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-04-20 |
| 1003877788 | Noel Pillman | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-31 |
| 1285695908 | Robert C Thomas | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-31 |
| 1619938651 | Danielle Dire | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-29 |
| 1134189970 | Polo Chen | Pediatrics | 4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433 | 2006-03-24 |
| 1063471787 | Joseph P Lynch | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1578674818 | Richard Douglas Thorsen | Internal Medicine | 11215 Dakotah St Nw, Coon Rapids, MN 55433-2563 | 2006-08-31 |
| 1164533311 | Hospital Doctors Ltd. | Internal Medicine | 11215 Dakotah St Nw, Coon Rapids, MN 55433-2563 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205196854 | Katherine Tran Janssen | Internal Medicine | Mmc 276, 420 Delaware Street Se, Minneapolis, MN 55455 | 2012-05-16 |
| 1619108693 | Sakina B Naqvi | Internal Medicine | 3100 Kennard St Ste 220, Maplewood, MN 55109-5465 | 2009-08-07 |
| 1235360140 | Inga C Forde | Internal Medicine | 640 Jackson St # Ms 11502b, Saint Paul, MN 55101-2502 | 2009-07-28 |
| 1083804256 | Trina J Hollatz | Internal Medicine | 920 E 1st St Ste 201, Duluth, MN 55805-2215 | 2007-07-25 |
| 1356542211 | Joshua Cohen | Internal Medicine | 225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545 | 2007-05-29 |
| 1699729574 | Anuja Sharma | Internal Medicine | 1404 Kingswood Ponds Rd, Eagan, MN 55122-2877 | 2006-05-22 |
| 1609829357 | Brian D. Amdahl | Internal Medicine | 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | 2006-05-17 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1356994404 | Brienne L Sauvageau | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-18 |
| 1750943023 | Stacy Jepsen | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on MR. BRADLEY DANIEL CHMIELEWSKI.
| 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.