Bradley S Hernandez, MD | |
640 Jackson St, Mc11102f, Saint Paul, MN 55101-2502 | |
(651) 254-3456 | |
(651) 254-5216 |
Full Name | Bradley S Hernandez |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 640 Jackson St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710954870 | NPI | - | NPPES |
153490400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 43232 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 42321 (Minnesota) | Primary |
Entity Name | Hudson Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20031121000807 |
Mailing Address | Practice Location Address |
---|---|
Bradley S Hernandez, MD 8100 34th Ave S, Mc21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7172 | Bradley S Hernandez, MD 640 Jackson St, Mc11102f, Saint Paul, MN 55101-2502 Ph: (651) 254-3456 |
Dr. Katherine Glasrud, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 612-863-6590 | |
Dr. Brian Thomas Gooley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 | |
Gerald Fred Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 Fax: 651-241-7154 | |
Samantha Anne Wen, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, United Hospital, Saint Paul, MN 55102 Phone: 612-241-8755 | |
Benjamin J Peake, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3666 | |
Dr. Andrew Richard Zinkel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, 11102f, Saint Paul, MN 55101 Phone: 651-254-5211 Fax: 651-254-5216 | |
Emily M Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-853-8800 Fax: 651-293-8106 |