Active NPI
Bradley James Alm, RN
- Registered Nurse
- Two Harbors, MN
National Provider Identifier
1396764510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 158595-1
- Practice address
- 1010 4TH St
Two Harbors, MN 55616-1200 - Phone
- (218) 834-7700
- Fax
- (218) 834-7727
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 27, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 158595-1 | MN | Primary |
Addresses
Primary practice location
1010 4TH St
Two Harbors, MN 55616-1200
Mailing address
1010 4TH St
Two Harbors, MN 55616-1200
Phone (218) 834-7700
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 158595-1 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1396764510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 4TH ST",
"city": "TWO HARBORS",
"state": "MN",
"postal_code": "556161200",
"telephone_number": "218-834-7700",
"fax_number": "218-834-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 4TH ST",
"city": "TWO HARBORS",
"state": "MN",
"postal_code": "556161200",
"telephone_number": "218-834-7700",
"fax_number": "218-834-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALM",
"first_name": "BRADLEY",
"middle_name": "JAMES",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 158595-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Two Harbors, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.