BRADLEY HORNER


Address: 3000 32nd Ave S, Fargo, ND 58103-6132
Phone: 7013648000

BRADLEY HORNER (NPI# 1205172921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205172921
Entity Type Individual
Full Name BRADLEY HORNER
Credential CRNA
Practice Address 3000 32nd Ave S
Fargo
ND 58103-6132
Mailing Address 1702 University Dr S
Fargo
ND 58103-4940
Practice Telephone 7013648000
Practice Fax Number 7013648078
Mailing Telephone 7013648000
Mailing Fax Number 7013648078
Enumeration Date 2012-12-28
Last Update Date 2020-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered 1476 MN Physician Assistants & Advanced Practice Nursing Providers
Y 367500000X Nurse Anesthetist, Certified Registered R33346 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 17779 05

Office Location

Street Address 3000 32ND AVE S
City FARGO
State ND
Zip Code 58103-6132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073506648 Randy K Metcalf Thoracic Surgery (Cardiothoracic Vascular Surgery) 3000 32nd Ave S, Fargo, ND 58103-6132 2005-08-29
1861006504 Hallie M Tiffany Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-09-01
1144846452 Andrea Patrice Solberg Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1669098976 Nathaniel James Piersol Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1710503545 Emily Olivia Miranda Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-17
1619500642 Collin Docter Physical Therapist 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-18
1386276863 Corey David Bos Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-12
1619508587 Stephanie Lee Piirainen Student in an Organized Health Care Education/Training Program 3000 32nd Ave S, Fargo, ND 58103-6132 2020-01-30
1386274918 Melissa Ann Knopik Nurse Practitioner 3000 32nd Ave S, Fargo, ND 58103-6132 2020-01-23
1205475126 Jerika A Decker Physician Assistant 3000 32nd Ave S, Fargo, ND 58103-6132 2019-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548659808 Red River Locums LLP Nurse Anesthetist, Certified Registered 1507 University Dr S, Fargo, ND 58103-4169 2015-01-09
1336440924 Megan Maria Dallman Nurse Anesthetist, Certified Registered Sanford Health Anesthesia Department, 737 Broadway, Fargo, ND 58122-0001 2010-11-12
1508895954 Ronald Beare Nurse Anesthetist, Certified Registered 2669 Meadow Creek Circle, Fargo, ND 58104-7112 2006-06-30
1982654646 Todd Arlen Gross Nurse Anesthetist, Certified Registered 2301 25th St S Ste K, Fargo, ND 58103-6104 2006-05-11
1669098976 Nathaniel James Piersol Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-06-23
1134743941 Joshua Levee Nurse Anesthetist, Certified Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-06-08
1942824388 Amanda Paulson Nurse Anesthetist, Certified Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-06-02
1689298390 Emily Marshelle Wolters Nurse Anesthetist, Certified Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-05-29
1194350132 Courtney Nicole Huston Nurse Anesthetist, Certified Registered 5225 23rd Ave S, Fargo, ND 58104-7927 2020-03-10
1386276863 Corey David Bos Nurse Anesthetist, Certified Registered 3000 32nd Ave S, Fargo, ND 58103-6132 2020-02-12
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City FARGO
Zip Code 58103

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Dataset Information

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.

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