DR. BRADLEY J. VOSSBERG (NPI# 1366446122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366446122 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY J. VOSSBERG |
| Credential | MD |
| Practice Address |
829 N. Dixon Rd. Kokomo IN 46901-1759 |
| Practice Telephone | 7654544512 |
| Practice Fax Number | 7658681059 |
| Mailing Telephone | 7654544512 |
| Mailing Fax Number | 7658681059 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01045512A | IN | Other Service Providers |
| N | 174400000X | Specialist | 32616 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200332230A | 05 | |
| KY | 64037633 | 05 |
| Street Address |
829 N. DIXON RD. |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730463639 | Marci J Davis | Specialist | 405 E Hoffer St, Kokomo, IN 46902-2247 | 2011-10-11 |
| 1891978060 | Michelle M. Haendiges | Specialist | 6361 W 90 S, Kokomo, IN 46901-8714 | 2007-12-11 |
| 1639120371 | Banipal Hovhanessian | Specialist | 2220 W Alto Rd, Kokomo, IN 46902-4840 | 2006-05-15 |
| 1467425736 | Robert H Mitchell Jr. | Specialist | 2347 W Lincoln Rd, Kokomo, IN 46902-8012 | 2006-02-08 |
| 1730183450 | Diane M Pfeifer | Specialist | 2350 S Dixon Rd, Ste 400, Kokomo, IN 46902-6420 | 2005-06-10 |
| 1720272123 | Internal Medicine Physicians, P.C. | Specialist | 3900 Southland Ave, Kokomo, IN 46902-3689 | 2007-08-29 |
| 1770605560 | Mercy Family Health Center | Specialist | 3804 Southland Ave, Kokomo, IN 46902-3637 | 2007-04-04 |
| 1518001569 | Internal Medicine Associates of Kokomo | Specialist | 2350 S Dixon Rd, Suite 400, Kokomo, IN 46902-6419 | 2007-02-16 |
| 1811951163 | Haendiges & Associates, PC | Specialist | 2030 W Boulevard, Kokomo, IN 46902-6079 | 2006-04-13 |
| 1184694895 | Clarence Bonoan Amayun | Specialist | 3611 S Reed Rd, Suite 106, Kokomo, IN 46902-3828 | 2006-01-25 |
| Find all providers in KOKOMO | ||||
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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.