BRADLEY JOHN NELSON (NPI# 1457951543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457951543 |
| Entity Type | Individual |
| Full Name | BRADLEY JOHN NELSON |
| Credential | RPH |
| Practice Address |
500 Crossroads Dr Sw Rochester MN 55902-2180 |
| Mailing Address |
2504 Clubhouse Dr Lake City MN 55041-4919 |
| Practice Telephone | 5072809441 |
| Mailing Telephone | 5074602310 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 115053 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093027799 | Bradley Clark Nelson | Internal Medicine | 9500 Gilman Drive, Mail Code 7411, University of California San Diego Health System, La Jolla, CA 92037 | 2010-07-09 |
| 1447399803 | Bradley Jerome Nelson | Dentist | 860 E Sahara Ave, #2, Las Vegas, NV 89104-3032 | 2007-02-05 |
| 1154330918 | Bradley J. Nelson | Dentist | 363 5th Ave N, Bayport, MN 55003-1232 | 2006-08-07 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1285634469 | Bradley D Nelson | Podiatrist | 207 S 30th Street, Clinton, OK 73601 | 2005-07-28 |
| 1154952554 | Bradley Nelson | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-04 |
| 1487004925 | Bradley G Nelson | Dentist | 5215 W Village Pkwy, Rogers, AR 72758-8104 | 2016-06-15 |
| 1083008924 | Bradley Eugene Nelson | Registered Nurse | 622 W 168th St, New York, NY 10032-3720 | 2015-03-27 |
| 1497175277 | Bradley Nelson | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Orthopedic Surgery, Albany, NY 12208-3412 | 2014-04-21 |
| 1518396837 | Bradley Arthur Nelson | Social Worker | 723 5th Ave E, Ste 110c, Kalispell, MT 59901-5321 | 2013-11-06 |
| Street Address |
500 CROSSROADS DR SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679502231 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2006-07-03 |
| 1801496062 | Gina Ayn Anderson | Pharmacist | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2020-10-27 |
| 1619485380 | Dana Lynn Johnson | Pharmacist | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2018-01-16 |
| 1194232173 | Brenna Lomas | Pharmacist | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2017-12-29 |
| 1073029005 | Hannah Eileen Bellinger | Pharmacist | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2017-12-28 |
| 1356870646 | Kathleen Mary Hamlin | Dietitian, Registered | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2017-06-08 |
| 1285053413 | Kristin Eising | Dietitian, Registered | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2014-04-15 |
| 1598103210 | Carol M Grover | Dietitian, Registered | 500 Crossroads Dr Sw, Rochester, MN 55902-2183 | 2013-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1073163770 | Samantha Jo Faso | Pharmacist | 286 Creighton Ln, Rochester, NY 14612-2225 | 2019-09-13 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| Find all providers in ROCHESTER | ||||
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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.