| Mr Kristen Scott Bradley, CRNA | |
|
8100 Northland Dr, Bloomington, MN 55431-4800 | |
| (952) 831-8742 | |
| Not Available |
| Full Name | Mr Kristen Scott Bradley |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8100 Northland Dr, Bloomington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114392545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1932805 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1869 (Minnesota) | Primary |
| Entity Name | Park Nicollet Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083622047 PECOS PAC ID: 7315840063 Enrollment ID: O20040129000853 |
| Entity Name | Tria Orthopaedic Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053483503 PECOS PAC ID: 3173570561 Enrollment ID: O20050407000604 |
| Entity Name | Twin Cities Anesthesia Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982125456 PECOS PAC ID: 9133491194 Enrollment ID: O20170825001436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kristen Scott Bradley, CRNA 8170 33rd Ave S, Mailstop 21110q, Bloomington, MN 55425-4516 Ph: (952) 883-6000 | Mr Kristen Scott Bradley, CRNA 8100 Northland Dr, Bloomington, MN 55431-4800 Ph: (952) 831-8742 |
Mary Kay Hanson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 Fax: 952-831-1626 |
Pamela E. Wagner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Karen Driessen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Melissa D Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Chris Gross, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Daniel M Pogatchnik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |
Constance Marie Rutledge, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 |