Jon Edwin Bradbury, MD | |
929 Central Ave. Nw, East Grand Forks, MN 56721 | |
(218) 773-6800 | |
(218) 773-6861 |
Full Name | Jon Edwin Bradbury |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 929 Central Ave. Nw, East Grand Forks, Minnesota |
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 |
---|---|---|---|
1679514285 | NPI | - | NPPES |
26520 | Other | ND | BCBS |
NA4571025060 | Other | PREFERRED ONE | |
11142 | Medicaid | ND | |
420032200 | Medicaid | MN | |
500M4BR | Other | MN | BCBS |
0123581 | Other | MEDICA | |
HP31099 | Other | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 8277 (North Dakota) | Secondary |
207Q00000X | Family Medicine | 43109 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Altru's Home Health | Grand forks, ND | Home health agency |
Altru Hospital | Grand forks, ND | Hospital |
Sanford Medical Center Fargo | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
---|---|
Jon Edwin Bradbury, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Jon Edwin Bradbury, MD 929 Central Ave. Nw, East Grand Forks, MN 56721 Ph: (218) 773-6800 |
Eric Carl Pearson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 929 Central Ave Nw, East Grand Forks, MN 56721 Phone: 218-773-6800 | |
Mridu Gandhi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 929 Central Ave Nw, East Grand Forks, MN 56721 Phone: 218-773-6800 | |
Caitlin Sisson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 929 Central Ave Nw, East Grand Forks, MN 56721 Phone: 218-773-6800 Fax: 218-773-6861 | |
Lindsey Jo Lommen Kadrmas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 929 Central Ave Nw, East Grand Forks, MN 56721 Phone: 218-773-6800 | |
Dr. Robert William Beattie, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 621 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-5800 | |
Diane M Voeller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-0357 | |
Jennifer Byfuglien, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-0357 |