MR. BRADLEY JAMES QUALEY (NPI# 1154319127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154319127 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY JAMES QUALEY |
| Credential | MD |
| Practice Address |
2024 S 6th St Ste 3 Brainerd MN 56401-4529 |
| Mailing Address |
523 N 3rd St Brainerd MN 56401-3054 |
| Practice Telephone | 2188287100 |
| Practice Fax Number | 2188338037 |
| Mailing Telephone | 2188292861 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 32730 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 205895200 | 05 |
| Street Address |
2024 S 6TH ST STE 3 |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491672 | Nicholas P Bernier | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2005-07-14 |
| 1013558881 | Karli G Dullum | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2019-10-03 |
| 1134572803 | Anna Eileen Wistrom-thesing | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2016-07-19 |
| 1215324983 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 2024 S 6th St, Brainerd, MN 56401-4529 | 2015-04-21 |
| 1669879730 | Randy Thomas Capelle | Physical Therapist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-12-04 |
| 1467853002 | Melissa Ann Erickson | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-15 |
| 1477954576 | Nathan Aaron Kline | Clinical Nurse Specialist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-08 |
| 1275952749 | Amanda Niemann | Physician Assistant | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-04-14 |
| 1215366380 | Adam Lee Purcell | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2013-11-08 |
| 1528409182 | Christina Gay Thell | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2013-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528056595 | David Brian Paul | Urology | 15620 Edgewood Dr, Ste 200, Brainerd, MN 56401-6983 | 2005-10-12 |
| 1932415643 | St. Joseph's Medical Center | Urology | 1903 S 6th St, Brainerd, MN 56401-4599 | 2010-08-19 |
| 1003136839 | Eric John Chapman | Urology | 2024 S 6th St, Brainerd, MN 56401-4529 | 2010-06-03 |
| 1144264680 | Scott Charles Wheeler | Urology | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-06-15 |
| 1881666873 | Lakes Area Urology Pa | Urology | 1903 S 6th St, Ste 3, Brainerd, MN 56401 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
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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.