Active NPI
Bradley David Kusler, M.D.
- Military Health Care Provider
- Offutt AFB, NE
National Provider Identifier
1104988385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 29399
- Practice address
- 105 Grant Cir Ste 133
55TH Amds-SGPS
Offutt a F B, NE 68113-4041 - Phone
- (402) 294-7346
- Fax
- (402) 294-9138
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 29399 | IA | Primary |
Addresses
Primary practice location
105 Grant Cir Ste 133
55TH Amds-SGPS
Offutt a F B, NE 68113-4041
Mailing address
408 Fawn Park Cir
Council Bluffs, IA 51503-5294
Phone (402) 321-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29399 | IA | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104988385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 FAWN PARK CIR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515035294",
"telephone_number": "402-321-4297",
"fax_number": "712-328-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GRANT CIR STE 133",
"address_2": "55TH AMDS-SGPS",
"city": "OFFUTT A F B",
"state": "NE",
"postal_code": "681134041",
"telephone_number": "402-294-7346",
"fax_number": "402-294-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSLER",
"first_name": "BRADLEY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "IA",
"license": "29399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Offutt AFB, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.