| Dr David D Bradley, DO | |
|
3000 32nd Ave S, Fargo, ND 58103-6132 | |
| (701) 364-8900 | |
| (701) 364-8078 |
| Full Name | Dr David D Bradley |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 24 Years |
| Location | 3000 32nd Ave S, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639294259 | NPI | - | NPPES |
| 864638100 | Medicaid | MN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Fargo | Fargo, ND | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 561 |
| Entity Name | Innovis Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David D Bradley, DO 400 E 3rd St, Ssb6, Duluth, MN 55805-1951 Ph: (218) 786-3146 | Dr David D Bradley, DO 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8900 |
Bangalore S Vijayalakshmi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 |
Nina Magdalena Robinson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1301 Centennial Blvd, Fargo, ND 58102 Phone: 612-708-7434 |
Ali Novin, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 736 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 |
William N Klava, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2203 Fax: 701-234-2899 |
Mr. Tom L Baumgartner Jr., MPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4450 31st Ave S Ste 104, Fargo, ND 58104 Phone: 701-451-9417 Fax: 701-298-0066 |
Scott J Fillmore, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2203 Fax: 701-234-2899 |
Dennis G Sollom, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 |