BRADLEY JASON INGRAHAM (NPI# 1659368116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659368116 |
| Entity Type | Individual |
| Full Name | BRADLEY JASON INGRAHAM |
| Credential | PA |
| Practice Address |
1040 Division St Mauston WI 53948-1931 |
| Practice Telephone | 6088475000 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1073 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1040 DIVISION ST |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749188 | Kimberley E. Sabey | Family Medicine | 1040 Division St, Mauston, WI 53948-1931 | 2005-09-08 |
| 1518464924 | Emily Bliss Walden | Advanced Practice Midwife | 1040 Division St, Mauston, WI 53948-1931 | 2018-04-11 |
| 1396110821 | Cassie Sullivan | Nurse Practitioner | 1040 Division St, Mauston, WI 53948-1931 | 2015-12-09 |
| 1306255021 | Ling Zhong | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2014-08-06 |
| 1467895136 | Jenna K. Sebranek | Family Medicine | 1040 Division St, Mauston, WI 53948 | 2013-04-12 |
| 1881930527 | Mile Bluff Medical Center Inc | Clinic/Center | 1040 Division St, Mauston, WI 53948-1931 | 2012-12-28 |
| 1932458932 | Gregory E. Burgess | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2012-09-05 |
| 1346563756 | Sandra K Hanko | Registered Nurse | 1040 Division St, Mauston, WI 53948-1931 | 2010-03-12 |
| 1396971115 | Eric Michael Ness | Family Medicine | 1040 Division St, Mauston, WI 53948-1931 | 2009-06-08 |
| 1417170788 | Angela Marie Gatzke-plamann | Family Medicine | 1040 Division St, Mauston, WI 53948-1931 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| Find all providers in zip 53948 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500923 | Brooke Marie Benson | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2020-02-14 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| 1306255021 | Ling Zhong | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2014-08-06 |
| 1629482849 | Christine Marie Jensen | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2014-06-16 |
| 1932458932 | Gregory E. Burgess | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2012-09-05 |
| 1528342672 | Allison R. Brey | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2011-10-07 |
| 1528385242 | Stephen Leslie Taylor | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2010-04-21 |
| 1518195858 | Angela Olson | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2009-06-25 |
| 1891724365 | Lisa C Olson | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2006-06-30 |
| 1396793329 | Lynn M Schuebel | Physician Assistant | 1040 Division St, Mauston, WI 53948 | 2006-05-04 |
| Find all providers in MAUSTON | ||||
Please comment or provide details below to improve the information on BRADLEY JASON INGRAHAM.
| 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.