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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | PENDING | NE | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
301 N 27th St Ste 3, Norfolk, NE 687014457 | 4026447262 | 4026447227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588785265 | Bradley Dean Mack | Specialist/Technologist | 4185 Braddock Trl, Eagan, MN 55123-1575 | 2007-04-02 |
Street Address |
2700 W NORFOLK AVE |
City | NORFOLK |
State | NE |
Zip Code | 68701-4438 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 68701 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(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. |
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 |
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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.