Bradley J Dupre (NPI# 1780724989, PAC ID# 3577534080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC PSYCHIATRY.
| Nation Provider ID (NPI) | 1780724989 |
| PAC ID by PECOS | 3577534080 |
| Professional Enrollment ID | I20040805001111 |
| Full Name | Bradley J Dupre |
| Address |
2585 S Shore Blvd White Bear Lake MN 55110-3934 |
| Phone Number | 6514265574 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | GERIATRIC PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2585 S Shore Blvd, White Bear Lake, MN 55110-3934 | 6514265574 |
| Street Address |
2585 S SHORE BLVD |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip | 55110-3934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie S Cronk | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Juan P Jaimes | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Kristina Shaffer | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Lydia Turnbull | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Jeremy W Cook | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Mina C Ingersoll | Clinical Social Worker | Ingersoll Associates LLC | 5522 W Bald Eagle Blvd, White Bear Lake, MN 55110-2381 |
| James T Barr | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Joshua Richard Jaeger | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Colin L Natrop | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Mitchell Green | Chiropractic | Carlson Chiropractic Corporation | 4717 Clark Ave, White Bear Lake, MN 55110-3221 |
| Find all physicians in zip 55110 | |||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
| Specialty | GERIATRIC PSYCHIATRY |
| City + Specialty | WHITE BEAR LAKE + GERIATRIC PSYCHIATRY |
Please comment or provide details below to improve the information on Bradley J Dupre.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.