BRADLEY J MACK


Address: 2700 W Norfolk Ave, Norfolk, NE 68701-4438
Phone: 4023714880

BRADLEY J MACK (NPI# 1881259182) 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) 1881259182
Entity Type Individual
Full Name BRADLEY J MACK
Credential CRNA
Practice Address 2700 W Norfolk Ave
Norfolk
NE 68701-4438
Practice Telephone 4023714880
Practice Fax Number 4026447647
Mailing Telephone 4023714880
Mailing Fax Number 4026447647
Enumeration Date 2019-05-02
Last Update Date 2019-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered PENDING NE Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 N 27th St Ste 3, Norfolk, NE 687014457 4026447262 4026447227

Other Providers BRADLEY MACK

NPI Name Taxonomy Address Enumeration
1588785265 Bradley Dean Mack Specialist/Technologist 4185 Braddock Trl, Eagan, MN 55123-1575 2007-04-02

Office Location

Street Address 2700 W NORFOLK AVE
City NORFOLK
State NE
Zip Code 68701-4438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063488211 Richard D Schroder Anesthesiology 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2006-02-27
1508476623 Adam Hervert Specialist/Technologist 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2020-08-04
1609485473 Dennis L Reese Pharmacist 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2020-07-28
1720612641 Michael John Munn Nurse Practitioner 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2020-02-29
1356981971 Kari Kay Uhlir Nurse Practitioner 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2020-01-11
1871147397 Brittany M Hinrichs Specialist/Technologist 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2019-08-01
1801452057 Faith Regional Health Services Pharmacy 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2019-05-14
1508356676 Kyle Gene Hilsabeck Nurse Anesthetist, Certified Registered 2700 W Norfolk Ave, Norfolk, NE 68701 2018-05-15
1386174449 Ryan Houghton Emergency Medicine 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2017-06-12
1811423346 Jacob Jenner Nurse Anesthetist, Certified Registered 2700 W Norfolk Ave, Norfolk, NE 68701-4438 2017-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700408465 Women's Empowering Life Line, Inc. Substance Abuse Rehabilitation Facility 200 South 13th St, Norfolk, NE 68701 2020-05-15
1093297103 Nicole Marie Owens Physician Assistant 2701 W. Norfolk Ave, Norfolk, NE 68701 2018-09-05
1326535410 Healing Hands of Nebraska, PC Otolaryngology Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 2018-04-16
1356864995 Nmg LLC Family Medicine 301 North 27th Street Suite 1, Norfolk, NE 68701 2017-07-25
1609396423 Alison Erin Pfeifer Physical Therapy Assistant 1220 W Benjamin Ave #4, Norfolk, NE 68701 2017-06-22
1568996148 Xanat Naranjo Registered Nurse 105 E. Norfolk Ave, Norfolk, NE 68701 2017-04-20
1194259945 Angela Cornett Licensed Practical Nurse 105 E. Norfolk, Norfolk, NE 68701 2017-04-19
1669906400 Melodie Ann Nielsen Registered Nurse 105 East Norfolk Ave, Norfolk, NE 68701 2017-04-19
1528519543 Women's Empowering Life Line Substance Abuse Rehabilitation Facility 910 West Park Avenue, Norfolk, NE 68701 2016-10-14
1174983100 Brooke Cemper Nurse Practitioner 2701 West Norfolk Ave, Norfolk, NE 68701 2016-03-03
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952829640 Elizabeth Ann Condon Nurse Anesthetist, Certified Registered 4722 Pleasant Ave, Norfolk, VA 23518-1913 2017-09-02
1154729069 Pulse Anesthesia Services LLC Nurse Anesthetist, Certified Registered 9701 Sherwood Pl, Norfolk, VA 23503-1745 2014-12-09
1902029234 Shoreline Anesthesia Nurse Anesthetist, Certified Registered 111 W Tazewell St, #305, Norfolk, VA 23510-1815 2007-04-11
1245330976 Debra Lynn Topp Nurse Anesthetist, Certified Registered 1507 Cedar Ridge Rd, Norfolk, NE 68701-3117 2006-09-23
1326002320 Briana Meseroll Nurse Anesthetist, Certified Registered 804 Glen Rock Rd, Suite 200, Norfolk, VA 23502 2006-04-14
1902808843 Marcia Bourque-moreno Nurse Anesthetist, Certified Registered 74 Cleveland St, Norfolk, MA 02056-1048 2005-08-11
1154954998 Alissa Warlick Nurse Anesthetist, Certified Registered 600 Gresham Dr, Norfolk, VA 23507-1904 2020-02-20
1235761875 Alexandra Leigh Greene Nurse Anesthetist, Certified Registered 600 Gresham Dr, Norfolk, VA 23507-1904 2020-02-11
1629629019 Sarah Ashley Zakula Nurse Anesthetist, Certified Registered 600 Gresham Dr, Norfolk, VA 23507-1904 2019-09-26
1669034427 Leslie Sandridge Nurse Anesthetist, Certified Registered 600 Gresham Dr, Norfolk, VA 23507-1904 2019-07-02
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 68701

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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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