Bradley James Groff, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

170966-30 Issued in WI

Practice address

752 Penbrook Way
Hartland, WI 53029-2654

Phone

(414) 213-0809

NPI assigned

Mar 29, 2012

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1609142116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 PENBROOK WAY",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292654",
            "telephone_number": "414-213-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 PENBROOK WAY",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292654",
            "telephone_number": "414-213-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "170966-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dawn Goetz, MS, LPC-IT
• Catherine Goldenstein, PT
• Veena V Gonuguntla, MD
• Kelly M Grandlich
• Grant a. Lemke D.D.S., S.C.
• Christine B Groth, RPH, CDM
• Jacob Wilhelm Hagmayer, DDS
• Hans J Halaska, D.C.
• Kirk Hanson, D.O.
• Hartland Family Chiropractic, LLC

• Registered Nurse in Hartland, WI
• Providers in Hartland, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.