DR. BRADLEY ALVIN PAULSON (NPI# 1083722920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083722920 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY ALVIN PAULSON |
| Credential | DC |
| Practice Address |
336 3rd Ave Clear Lake WI 54005 |
| Mailing Address |
Po Box 96 Clear Lake WI 54005 |
| Practice Telephone | 7152632313 |
| Practice Fax Number | 7152633284 |
| Mailing Telephone | 7152632313 |
| Mailing Fax Number | 7152633284 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2020 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38789400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750343232 | Bradley Alan Paulson | Radiology | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2006-04-03 |
| Street Address |
336 3RD AVE |
| City | CLEAR LAKE |
| State | WI |
| Zip Code | 54005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215364211 | Paulson Chiropractic Clinic, LLC | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005-8581 | 2013-10-04 |
| 1871925669 | Brent Richard Paulson | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005-8581 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043866460 | Northern Roots Family Spinal Care, LLC | Chiropractor | 470 3rd Ave, Clear Lake, WI 54005 | 2019-08-12 |
| 1689855355 | Deborah Sue Cuper | Physical Therapist | 417 3rd Ave., Clear Lake, WI 54005 | 2007-11-21 |
| 1952595480 | Kivlin Eye Clinic, Sc | Optometrist | 370 3rd Ave, Clear Lake, WI 54005 | 2007-08-28 |
| 1225042013 | Emily J Monson | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2006-07-28 |
| 1770134892 | Jolleen Mary Nichols | Nurse Practitioner | 357 Third Ave, Clear Lake, WI 54005 | 2019-09-20 |
| 1265721781 | Krista Anderson | Physical Therapy Assistant | 417 3rd Ave, Clear Lake, WI 54005 | 2011-04-05 |
| 1083845754 | Clear Lake Physical Therapy and Rehab Specialists LLC | Occupational Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2009-07-29 |
| 1063689487 | Erin Timm | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2008-05-14 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1245563196 | Lisa Karen Dodge | Point of Service | 571 75th St, Clear Lake, WI 54005-3819 | 2009-09-10 |
| Find all providers in zip 54005 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063190 | Bennie Joe Kuhlmann | Chiropractor | 11567 42nd St Se, Clear Lake, MN 55319-9202 | 2020-05-04 |
| 1043866460 | Northern Roots Family Spinal Care, LLC | Chiropractor | 470 3rd Ave, Clear Lake, WI 54005 | 2019-08-12 |
| 1568893501 | Ross Andrew Toben | Chiropractor | 409 3rd Ave S, Clear Lake, SD 57226 | 2013-12-02 |
| 1700011103 | Jennifer J Hinschberger | Chiropractor | 10757 Cedar Ave, Clear Lake, IA 50428-8505 | 2009-05-28 |
| 1457528671 | Nicholas David Mccolley | Chiropractor | 506 Main Ave, Clear Lake, IA 50428-1829 | 2008-05-15 |
| 1932383684 | Raymond T Hendrickson | Chiropractor | 10196 - 48 Street, Clear Lake, MN 55319 | 2007-12-18 |
| 1750433413 | Todd Darwin Hocraffer | Chiropractor | 1524 W Highway 18, Clear Lake, IA 50428 | 2007-01-16 |
| 1548206915 | Kathleen Kay Voortmann | Chiropractor | 1101 10th Ave N, Clear Lake, IA 50428-1437 | 2006-06-22 |
| 1861467524 | Henry L Goetz Jr. | Chiropractor | 1524 Highway 18w, Clear Lake, IA 50428-1105 | 2006-02-17 |
| 1710958707 | Jeffery A. Anderson | Chiropractor | 614 Buddy Holly Place, Clear Lake, IA 50428-1364 | 2006-01-30 |
| Find all providers in CLEAR LAKE | ||||
| City | CLEAR LAKE |
| Zip Code | 54005 |
Please comment or provide details below to improve the information on DR. BRADLEY ALVIN PAULSON.
| 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.