Active NPI
Bridgette Mary-Catherine Radak, MSN, RN, FNP-BC
- Family Nurse Practitioner
- McBain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704306800
- Practice address
- 100 N Roland St
MC Bain, MI 49657-9683 - Phone
- (231) 825-8101
- NPI assigned
- Nov 16, 2019
- Last updated
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704306800 | MI | Primary |
Addresses
Primary practice location
100 N Roland St
MC Bain, MI 49657-9683
Mailing address
100 N Roland St
MC Bain, MI 49657-9683
Phone (231) 825-8101
Other practice location 1
7985 S Mackinaw Trl
Cadillac, MI 49601-8111
Phone (231) 866-6200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bradak@direct.mhc.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Roland St
McBain Primary Care
MC Bain, MI 49657-9683
Phone (231) 825-8101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients |
Locations
3782 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- bradak@direct.mhc.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McBain Primary Care
- Rural Health Clinic/Center
- McBain, MI
- NPI 1336539063
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1013552785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ROLAND ST",
"city": "MC BAIN",
"state": "MI",
"postal_code": "496579683",
"telephone_number": "231-825-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ROLAND ST",
"city": "MC BAIN",
"state": "MI",
"postal_code": "496579683",
"telephone_number": "231-825-8101"
}
],
"practiceLocations": [
{
"address_1": "7985 S Mackinaw Trl",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496018111",
"country_code": "US",
"telephone_number": "231-866-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADAK",
"first_name": "BRIDGETTE",
"middle_name": "MARY-CATHERINE",
"name_prefix": "Mrs.",
"credential": "MSN, RN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-16",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704306800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bradak@direct.mhc.net",
"affiliation": "N",
"address_1": "7985 S Mackinaw Trl",
"city": "Cadillac",
"state": "MI",
"country_code": "US",
"postal_code": "496018111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McBain, MI
- Munson Healthcare Cadillac (McBain Primary Care)
- Munson Healthcare Otsego Memorial Hospital (McBain Primary Care)
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Dawn Lynnette Paris, LMSW
- Kayla M Roby
- Connie Schepers, PT
- Katelyn Leeanne Sluiter, PHT, CMA
- Kara Smith, OTR/L
- Tammy Stroud
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.