Mark B Bradley, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

119 Issued in SD

Practice address

1602 W 26TH St
Sioux Falls, SD 57105-2610

Phone

(605) 695-0599

NPI assigned

May 5, 2006

Last updated

Oct 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1396793931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052610",
            "telephone_number": "605-695-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052610",
            "telephone_number": "605-695-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Boysen
• Nelly O Boyt, DO
• Shannen Marie Bozied, DPT
• Jaclyn Marie Braa
• Lynne Renee Bradbury, OTR
• Ashlyn Brady, RBT
• Morgan Brady, RBT
• Patriciann F Brady, RN LPC MH QMHP
• Shanda Rose Bragg, RDMS
• Samantha Rae Brandenburg, NP-C

• Podiatrist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Podiatrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.