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).
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 |
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 |
Street Address |
56 DUKE ST 200 WEST 'B' STREET, SUITE 226 |
City | PUEBLO |
State | CO |
Zip Code | 81005-1604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
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 |
Find all providers in zip 81005 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in PUEBLO |
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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.