DR. BRADLEY ALAN MCCUSKER (NPI# 1386609865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386609865 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY ALAN MCCUSKER |
| Credential | D.P.M |
| Practice Address |
200 Bunker Hill Dr Aitkin MN 56431 |
| Mailing Address |
200 Bunker Hill Dr Aitkin MN 56431-1865 |
| Practice Telephone | 2189272157 |
| Practice Fax Number | 2189275319 |
| Mailing Telephone | 2189272157 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
669 | MN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
200 BUNKER HILL DR |
| City | AITKIN |
| State | MN |
| Zip Code | 56431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515506 | John Wesley Ziebarth | Nurse Anesthetist, Certified Registered | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2005-08-22 |
| 1124674478 | St Cloud Hospital | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2019-08-13 |
| 1497217194 | Aitkin Community Hospital Inc. | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2019-04-02 |
| 1942735709 | Tony Blankers | Family Medicine | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2017-04-28 |
| 1285094318 | Kathleen Halbert | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2016-03-02 |
| 1588022958 | Karen Bartron-sundeen | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2016-02-01 |
| 1609254150 | Megan Zilmer | Dietitian, Registered | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2015-05-15 |
| 1548682354 | Michael Angelo Eannelli | Pharmacist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2014-01-14 |
| 1609217223 | Megan M Workman | Advanced Practice Midwife | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-07-11 |
| 1447690052 | Lisa M Thompson | Nurse Practitioner | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
| 1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
| 1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
| 1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
| 1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
| 1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
| 1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
| 1518379288 | Mclean Severson | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2014-05-28 |
| 1841384450 | Patrick L Holder | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
| 1902991318 | John E Fossen | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
| Find all providers in zip 56431 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700098613 | Winona Foot Clinic P.a. | Podiatrist | 350 East Sarnia Street, Winona, MN 55987 | 2007-05-04 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1710083837 | Medical Arts Foot Clinics, P. A. | Podiatrist | 3485 Willow Lake Blvd, Suite 300, Saint Paul, MN 55110-5152 | 2006-09-16 |
| 1205856713 | Dale Herbert Vancil | Podiatrist | 3485 Willow Lake Blvd., Suite 300, Lino Lakes, MN 55110-5152 | 2006-07-20 |
| 1639150774 | Otter Tail Podiatry Associates, P.a. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2005-11-07 |
| 1497145262 | David Edward Jones | Podiatrist | 5861 Cedar Lake Rd S, Minneapolis, MN 55416-1653 | 2015-01-30 |
| 1912271180 | Kari Prescott, D P M P A | Podiatrist | 825 Nicollet Mall, Suite 441, Minneapolis, MN 55402-2606 | 2012-03-05 |
| 1952612418 | Corey Edward Valentine | Podiatrist | 301 Highway 65 S, Mora, MN 55051-1899 | 2010-06-29 |
| 1053639732 | Melanie Johnson | Podiatrist | 4653 White Bear Pkwy, White Bear Lake, MN 55110 | 2010-05-05 |
| 1154559144 | Conrad L Meints & Associate | Podiatrist | 324 W Superior St, Suite 517, Duluth, MN 55802-1760 | 2009-06-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRADLEY ALAN MCCUSKER.
| 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.