BRADLEY JOHN HAGEN


Address: 877 E South Boulder Rd, Louisville, CO 80027-1345
Phone: 3036658228

BRADLEY JOHN HAGEN (NPI# 1316426752) 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) 1316426752
Entity Type Individual
Full Name BRADLEY JOHN HAGEN
Practice Address 877 E South Boulder Rd
Louisville
CO 80027-1345
Mailing Address 1285 Centaur Village Dr Ste 200
Lafayette
CO 80026-1243
Practice Telephone 3036658228
Mailing Telephone 7202872614
Mailing Fax Number 3032007375
Enumeration Date 2018-08-07
Last Update Date 2018-08-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DEN.00203682 CO Dental Providers

Other Providers BRADLEY HAGEN

NPI Name Taxonomy Address Enumeration
1184663973 Bradley Christopher Hagen Nurse Practitioner 418 W. Main Avenue, Brewster, WA 98812 2006-06-06

Office Location

Street Address 877 E SOUTH BOULDER RD
City LOUISVILLE
State CO
Zip Code 80027-1345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326349283 Robert J Edwards Dentist 877 E South Boulder Rd, Louisville, CO 80027 2010-11-09
1265087902 Zebo Schafer Dental Hygienist 877 E South Boulder Rd, Louisville, CO 80027-1345 2019-08-08
1053828350 Lauren Nunn Dental Hygienist 877 E South Boulder Rd, Louisville, CO 80027-1345 2018-01-08
1225568504 Joseph Mark Harberg Dentist 877 E South Boulder Rd, Louisville, CO 80027-1345 2017-06-19
1972031938 Amanda Renee Zimmer Dental Hygienist 877 E South Boulder Rd, Louisville, CO 80027-1345 2017-06-02
1093109837 Talbot R Fucci Dentist 877 E South Boulder Rd, Louisville, CO 80027-1345 2015-03-18
1861805061 V Junia Klatt Dental Hygienist 877 E South Boulder Rd, Louisville, CO 80027-1345 2014-06-05
1861811341 Aram Sun Dentist 877 E South Boulder Rd, Louisville, CO 80027-1345 2014-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144849951 Fullswift Physiotherapy, Pllc Physical Therapist 538 W. Laurel Ct., Louisville, CO 80027 2020-04-11
1265097547 Amanda Nicole Calzolano Occupational Therapist 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 2019-05-02
1891258273 Lisa Apel Counselor 287 Century Circle, Louisville, CO 80027 2019-04-11
1336622570 Boulder Neurology and Concussion Psychiatry & Neurology 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 2018-09-13
1568942886 Alessandra Zapiecki Occupational Therapist 1107 W Century Dr, Louisville, CO 80027 2018-08-16
1225539935 Healing Solutions Inc. Massage Therapist 362 S. Mccaslin Blvd., Louisville, CO 80027 2018-02-27
1033618632 Matthew Mandel Massage Therapist 1945 Piper St, Superior, CO 80027 2018-02-08
1740794031 Elise Nicole Brucks Speech-Language Pathologist 1007 Century Drive, Louisville, CO 80027 2017-11-22
1043762859 Options Treatment, LLC Counselor 1068 S. 88th Street, Unit A, Louisville, CO 80027 2016-10-27
1225584071 Trent Sayers Dental PC Dentist 1691 Coalton Rd., Superior, CO 80027 2016-08-31
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235781485 Rylie Mike-mayer Dentist 302 Axis Dr Apt 401, Louisville, KY 40206-0139 2019-07-09
1922580653 Advanced Dental Center, Inc. Dentist 1901 Rudy Ln Ste 4, Louisville, KY 40207-1384 2018-08-29
1043701451 Diana H Tran Dentist 501 S Preston St Rm 148, Louisville, KY 40202-1701 2018-05-21
1992295653 Tyler Benton Blount Dentist 8013 New La Grange Rd Ste 6, Louisville, KY 40222-4700 2018-05-17
1407346901 Louisville Dental Associates LLC Dentist 16701 E Main St, Louisville, MS 39339-2751 2018-05-10
1194238816 Dental Services of Kentucky, Psc Dentist 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 2017-11-16
1366963373 Caleb William Reece Dentist 2201 Biljana Dr Apt 1, Louisville, KY 40206-2175 2017-06-29
1205366846 Triple Crown Dentistry Dentist 904 Lily Creek Road, Suite 101, Louisville, KY 40243 2017-06-15
1740733559 Jonathan Mitchell, Dmd, Psc Dentist 1716 Gardiner Ln, Louisville, KY 40205-2738 2016-07-27
1215389168 Charles Kendrick Bunch Dentist 1030 Mulberry St, Louisville, KY 40217-1253 2016-07-04
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Competitor

Search similar providers

City LOUISVILLE
Zip Code 80027

Improve Information

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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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