Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 22343 | MN |
NPI | 1013908789 |
---|---|
Provider Name | Bradley E Currier |
First Address | Saint Cloud, MN 56303-5000 |
Second Address | Saint Cloud, MN 56303-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 22/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100007123 | RR MEDICARE (01) | |
110895 | U-CARE (01) | |
2900209 | MEDICA HEALTH PLANS (01) | |
457290400 | MEDICAL ASSISTANCE (01) | |
504R1CU(PL) | BLUE CROSS BLUE SHIELD (01) | |
600907 | ARAZ GROUP/AMERICAS PPO (01) | |
6D060CU | BLUE CROSS BLUE SHIELD (01) | |
986005 | PREFERRED ONE (01) | |
D80158 | (02) | |
HP25411 | HEALTH PARTNERS (01) |