BRADLEY JOSEPH VANDER ZANDEN (NPI# 1780121939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780121939 |
| Entity Type | Individual |
| Full Name | BRADLEY JOSEPH VANDER ZANDEN |
| Credential | PA-C |
| Practice Address |
36065 Sante Fe Avenue Fort Hood TX 76544 |
| Mailing Address |
1512 Maya Trl Apt A Harker Heights TX 76548-2280 |
| Practice Telephone | 2542888000 |
| Mailing Telephone | 9202022048 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36065 SANTE FE AVENUE |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154898799 | Mason Amory Frank | Physical Therapist | 36065 Sante Fe Avenue, Fort Hood, TX 76544 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| 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 |
|---|---|---|---|---|
| 1093334245 | Danielle Justine Presta | Physician Assistant | 48259 Morris St, Fort Hood, TX 76544-1754 | 2020-04-08 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1508411505 | John Arthur Chen | Physician Assistant | Bennett Clinic Building 420a, 31'st Street and Battalion Ave., Fort Hood, TX 76654 | 2019-08-06 |
| 1417424011 | Bryan King Bennett | Physician Assistant | Carl R Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 76544 | 2018-11-01 |
| 1659847895 | Matthew Wilson Webb | Physician Assistant | 31st and Battalion Avenue, Bennett Health Clinic, Fort Hood, TX 76544 | 2018-10-15 |
| 1164906376 | Joshua Eaquinto | Physician Assistant | Car R. Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 76544 | 2018-09-24 |
| 1609281005 | Cheryl Latrice Washington | Physician Assistant | 36000 Darnll Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-4752 | 2014-06-24 |
| 1134550049 | Nickolas Willer | Physician Assistant | 1776 Battalion Ave, Fort Hood, TX 76544 | 2013-12-02 |
| 1144573924 | Christopher Wayne Parks | Physician Assistant | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2012-10-18 |
| 1922351840 | Michael James Conner | Physician Assistant | Battalion Avenue Building 33003, Fort Hood, TX 76544 | 2012-10-16 |
| Find all providers in FORT HOOD | ||||
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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.