Bradley David Vipond, PLMHP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

11790 Issued in NE

Practice address

14188 Mother Theresa LN
Boys Town, NE 68010-7554

Phone

(402) 498-3025

Fax

(402) 964-7150

NPI assigned

Mar 14, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Father Flanagan's Boys Home

  • Counselor
  • Boys Town, NE
  • NPI 1396269726
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1376002832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14188 MOTHER THERESA LN",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107554",
            "telephone_number": "402-498-3025",
            "fax_number": "402-964-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14188 MOTHER THERESA LN",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107554",
            "telephone_number": "402-498-3025",
            "fax_number": "402-964-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5074 Ames Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681042323",
            "country_code": "US",
            "telephone_number": "402-964-3025",
            "fax_number": "402-964-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIPOND",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-14",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazira Usmanova
• Jon A Vanderhoof, MD
• Nancy L Vandersluis, M.D.
• Village of Boys Town
• Sierra Villanueva, PHD, LP
• Nathaniel Paul Von Der Embse, PLMHP
• Megan Willes, PLMHP
• Kara Marie Wolff, APRN
• Tanner Lynn Wright
• Molly Kathleen Zajicek-Stokebrand, PA-C

• Counselor in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.