BRADLEY JAMES RUSOVICK


Address: 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604
Phone: 7193341010

BRADLEY JAMES RUSOVICK (NPI# 1548703937) 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) 1548703937
Entity Type Individual
Full Name BRADLEY JAMES RUSOVICK
Practice Address 56 Duke St
200 West 'b' Street, Suite 226
Pueblo
CO 81005-1604
Mailing Address 5380 Peregrine Dr
Pueblo
CO 81005-5521
Practice Telephone 7193341010
Mailing Telephone 7193341010
Enumeration Date 2016-12-02
Last Update Date 2016-12-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ACC0006272 CO Behavioral Health & Social Service Providers

Office Location

Street Address 56 DUKE ST
200 WEST 'B' STREET, SUITE 226
City PUEBLO
State CO
Zip Code 81005-1604

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1245758168 Jenny C Alas Dentist 2603 Vinewood Lane, Pueblo, CO 81005 2017-08-30
1801342472 Cynthia Watson Counselor 2429 S. Prairie Avenue, Pueblo, CO 81005 2016-09-01
1598033664 Kyle Andrew Bonds Pharmacist 2900 W. Northern Ave., Pueblo, CO 81005 2011-12-05
1346406196 Samantha Coleman Counselor 2429 S Prairie Ave, Pueblo, CO 81005 2008-07-31
1184890915 Hg Stringert Dds, Ms, PC Dentist 3955 Sandlewood Lane, Pueblo, CO 81005 2008-05-01
1992902423 David Russell Baer Dentist 2041 Pepper Lane, Ste A, Pueblo, CO 81005 2007-06-28
1659443695 Thomas Wesley Ready Dentist 643 So Pueblo Blvd, Pueblo, CO 81005 2006-11-14
1700969029 Bradley Michael Almond Dentist 1221 S Pueblo Blvd, Pueblo, CO 81005 2006-10-23
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083220099 Samantha Pino Counselor 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 2020-09-16
1881182830 Manuel Roman Martinez I Counselor 720 N Main St Ste 240, Pueblo, CO 81003-3046 2018-04-25
1952820292 Victoria Lynn Wallace Counselor 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 2017-09-19
1225393267 Michael Todd Kragt Counselor 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 2012-07-05
1356603229 Tracy D Wilson Counselor 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 2012-06-15
1497011613 Sarah Nicole Sandstrom Counselor 560 S Bond Dr, Pueblo, CO 81007-1697 2012-04-02
1093088890 Oasis Counseling, A Pllc Counselor 200 W 29th St, Pueblo, CO 81008-1004 2012-02-10
1083918247 Leo Paul Arguello Counselor 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 2011-01-03
1689831737 Matthew Anthony Capranelli Counselor 719 W 29th St, Pueblo, CO 81008-1183 2008-05-16
1407051204 Eugene Espinosa Counselor Crossroads Turning Points, Inc, 3470 Baltimore Ave, Pueblo, CO 81008 2007-06-20
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Competitor

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City PUEBLO
Zip Code 81005

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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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