Bradley Scott Harlander, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2349015 Issued in WI

Practice address

106 S Wisconsin Ave
Frederic, WI 54837-0250

Phone

(715) 327-8607

Fax

(715) 327-4376

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306946223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "FREDERIC",
            "state": "WI",
            "postal_code": "548370250",
            "telephone_number": "715-327-8607",
            "fax_number": "715-327-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S WISCONSIN AVE",
            "city": "FREDERIC",
            "state": "WI",
            "postal_code": "548370250",
            "telephone_number": "715-327-8607",
            "fax_number": "715-327-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLANDER",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2349015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33390800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Foss
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• Angela M Fredrickson, MSW
• Melissa Catherine Gendreau, PCTL
• Jennifer Gwiazda, APNP
• Hope Road Wellness Center, LLC
• Samantha J Hughes, APNP
• Claire Ingish, PTA
• Quentin Johnson
• Taylor Lauren Koehler, RN, BSN

• General Practice Dentistry in Frederic, WI
• Providers in Frederic, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.