BRADLEY E BASTIAN (NPI# 1952333296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952333296 |
| Entity Type | Individual |
| Full Name | BRADLEY E BASTIAN |
| Credential | PA-C |
| Practice Address |
4730 Chicago Ave Minneapolis MN 55407-3570 |
| Mailing Address |
Po Box 1309 Msial Stop 21110q Minneapolis MN 55440-1309 |
| Practice Telephone | 6123130000 |
| Practice Fax Number | 6123130004 |
| Mailing Telephone | 6123130000 |
| Mailing Fax Number | 6123130004 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10829 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326497090 | Bradley William Bastian | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-06-03 |
| 1790173318 | Bradley Bastian | Counselor | 220 W 4th Ave, Ellensburg, WA 98926-3060 | 2015-01-05 |
| Street Address |
4730 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710976865 | Catalin Constantin | Dentist | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2005-10-20 |
| 1710545058 | Hannah Emily Reykdal | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2019-06-02 |
| 1164932570 | Caroline Abenakyo | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-10-11 |
| 1386163434 | Lauren Velin | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-09-10 |
| 1639697527 | Kristina Popov | Registered Nurse | 4730 Chicago Ave, Minneapolis, MN 55407 | 2017-08-31 |
| 1194248203 | Barbara B Eliason | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-07-20 |
| 1114449311 | Hayley Keller Gindlin | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-07-10 |
| 1790220424 | Sherry Renee Walkowicz | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2017-01-04 |
| 1124560768 | Tonya Lynn Larson | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2016-11-14 |
| 1376095448 | Tina Coyle | Nurse Practitioner | 4730 Chicago Ave, Minneapolis, MN 55407-3570 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
|---|---|---|---|---|
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 1932714037 | Kseniia Sosinovych | Physician Assistant | 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 | 2020-09-15 |
| 1659986743 | Collin Jeffery Barry | Physician Assistant | 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 | 2020-09-15 |
| 1568077626 | Alyssa Clements | Physician Assistant | 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 | 2020-09-14 |
| 1578178703 | Nicholas H Sorenson | Physician Assistant | 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 | 2020-09-14 |
| 1861016743 | Meredith Elise Lafond | Physician Assistant | 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 | 2020-06-05 |
| 1477182053 | Hannah Grace Johnson | Physician Assistant | 3437 Chicago Ave, Minneapolis, MN 55407-2107 | 2020-04-05 |
| 1851921431 | Nasima Omar | Physician Assistant | 3321 Emerson Ave S, Minneapolis, MN 55408-3528 | 2020-01-22 |
| 1861022600 | Jeremiah Malecek | Physician Assistant | 3755 Bryant Ave N, Minneapolis, MN 55412-2156 | 2020-01-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.