Bradley Alan McCusker, D.P.M

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

669 Issued in MN

Practice address

200 Bunker Hill Dr
Aitkin, MN 56431

Phone

(218) 927-2157

Fax

(218) 927-5319

NPI assigned

Apr 19, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Practice roles

Locations

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.

• Aitkin Community Hospital, Inc.

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Medicare reassignment NPD
• Cuyuna Regional Medical Center

  • Family Medicine Physician
  • Longville, MN
  • NPI 1861414518
  Medicare reassignment NPD
• Aitkin Community Hospital, Inc.

  • Rural Health Clinic/Center
  • McGregor, MN
  • NPI 1245395409
  NPD
• Aitkin Community Hospital, Inc.

  • Community/Retail Pharmacy
  • Aitkin, MN
  • NPI 1497377287
  NPD
• Aitkin Community Hospital, Inc.

  • Rural Health Clinic/Center
  • Garrison, MN
  • NPI 1790815777
  NPD
• Cuyuna Regional Medical Center

  • Critical Access Hospital
  • Crosby, MN
  • NPI 1538143896
  NPD
• Cuyuna Regional Medical Center

  • Critical Access Hospital Clinic/Center
  • Crosby, MN
  • NPI 1639459282
  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1386609865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "56431",
            "telephone_number": "218-927-2157",
            "fax_number": "218-927-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUSKER",
        "first_name": "BRADLEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MN",
            "license": "669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmccusker215970@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "200 Bunker Hill Dr",
            "city": "Aitkin",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frederick Mann, LADC, LPCC
• Mary E. Mapes, FNP
• Erin L Mason, PA
• John T Mateyka, RPH
• Rebecca L May, ANP
• Shawn McCusker, RPH
• Kylie Mead
• Minnesota Ave N Pharmacy Services Limited
• Minnesota Ave N Pharmacy Services Limited
• Alan J Monroe, CPHT

• Foot Surgery Podiatrist in Aitkin, MN
• Providers in Aitkin, MN by specialty
• Foot Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.