Dr Lonnie Bradford, PSYD is a
Clinical Neuropsychologist based in Saint Cloud, Minnesota. Dr Lonnie Bradford is licensed to practice in Minnesota (license number 6007) and his current practice location is
3812 8th St N Ste 200, Saint Cloud, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(513) 612-0876.
NPI number for Dr Lonnie Bradford is 1891020467 and his current mailing address is 3812 8th St N Ste 200, Saint Cloud, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891020467.
Healthcare Provider's Profile
| Full Name | Dr Lonnie Bradford |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 3812 8th St N Ste 200, Saint Cloud, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891020467
- Provider Enumeration Date: 10/15/2009
- Last Update Date: 11/22/2019
Medical Identifiers
Medical identifiers for Dr Lonnie Bradford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891020467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1673 (Alabama) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6007 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lonnie Bradford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lonnie Bradford, PSYD
3812 8th St N Ste 200,
Saint Cloud, MN 56303-1421
Ph: (513) 612-0876 | Dr Lonnie Bradford, PSYD
3812 8th St N Ste 200,
Saint Cloud, MN 56303-1421
Ph: (513) 612-0876 |
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