MR. BRADLEY DEAN OTTO (NPI# 1962616581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962616581 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY DEAN OTTO |
| Credential | RT(R) |
| Practice Address |
700 Chief Eddie Hoffman Highway Bethel AK 99559 |
| Practice Telephone | 9075430601 |
| Mailing Telephone | 9075430601 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841649084 | Bradley John Otto | Internal Medicine | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-5759 | 2016-06-08 |
| 1114969185 | Bradley A. Otto | Otolaryngology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2006-06-12 |
| Street Address |
700 CHIEF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928627 | Matthew Todd Warren | Radiology | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-11-03 |
| 1043843683 | Alicia Paula Koffi | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-02-21 |
| 1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
| 1619330230 | Amber Leigh Colvin | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2016-03-31 |
| 1073970745 | Jeremiah Lee Britton | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Diabetes Prevention and Control Attn: Jeremiah Britton, Bethel, AK 99559 | 2016-01-26 |
| 1528434016 | Michelle M Carl | Technician, Other | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0700 | 2015-08-19 |
| 1184026908 | Agnes Changsak | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-09-24 |
| 1801201611 | Virginia Lozano | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-07-01 |
| 1699188581 | Ernest Phillip | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2014-06-09 |
| 1467875120 | Beverly Wulf | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275771305 | Brent James Lautenschlager | Radiologic Technologist | 700 Chief Eddie Hoffman Hwy, Radiology, Bethel, AK 99559 | 2009-01-28 |
| 1215187992 | Thomas Casper Young Sr. | Radiologic Technologist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2008-09-30 |
| 1023215241 | James Munn | Radiologic Technologist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2007-06-29 |
| 1932306255 | Lisa Potter | Radiologic Technologist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2007-06-29 |
| 1487870895 | Ronnie Jean Fitzpatrick | Radiologic Technologist | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2007-04-17 |
| 1003032319 | Wyndi Rachele Adams | Radiologic Technologist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154872935 | Samuel Christy | Radiologic Technologist | 4051 N Sylvanne Ct, Wasilla, AK 99654-9368 | 2016-10-17 |
| 1952491037 | Aaron Jeffrey Holm | Radiologic Technologist | 600 Adams Street, Unit T, Cordova, AK 99574 | 2006-10-13 |
| 1063704005 | James A White | Radiologic Technologist | 3227 Glacier Hwy, Juneau, AK 99801-7842 | 2011-05-10 |
Please comment or provide details below to improve the information on MR. BRADLEY DEAN OTTO.
| 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.