Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON EDWIN BRADBURY, MD
ActiveJON EDWIN BRADBURY, MD is a Family Medicine healthcare provider located in EAST GRAND FORKS, Minnesota. NPI 1679514285 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EAST GRAND FORKS, MN
Registration Details
- NPI Number
- 1679514285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2006 (20.150799755155 yrs)
- Last Updated
- Nov 16, 2022
- Licenses
-
8277 (ND)43109 (MN)
Practice Information
- Address
-
929 CENTRAL AVE. NWEAST GRAND FORKS, MN, 56721Browse MN providers · Browse ZIP 56721
- Phone
- 2187736800
- Fax
- 2187736861
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in EAST GRAND FORKS, MN
| Name | Credential | NPI |
|---|---|---|
| MATHEW LLOYD STAYMAN | MD | 1548217268 |
| THOMAS BRADLEY CARIVEAU | MD | 1881641538 |
| MARSHA M LANGE | MD | 1699793265 |
| ERIC CARL PEARSON | MD | 1003835984 |
| DR. ROBERT WILLIAM BEATTIE | M.D | 1215957402 |
| LISA JO JAMSA TOLLEFSON | MD | 1962627398 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.