Bradley Bonnett

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1984 Issued in MN

Practice address

401 West St Ste 115
Jackson, MN 56143-1219

Phone

(507) 847-2423

NPI assigned

Jun 2, 2011

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

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.

• Journeys of Healing, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Worthington, MN
  • NPI 1831667658
  NPD
• Southwestern Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Luverne, MN
  • NPI 1487654562
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1629362124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 4TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WEST ST STE 115",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431219",
            "telephone_number": "507-847-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "BRADLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gumersindo Alampay Alvero, MD
• Carrie Rochelle Anderson, MSED., LPC, NCC
• Ashley House, Inc.
• Susan Marie Back, MS LP
• Donald Brosnahan, PHARMACIST
• Alyssa Kay Burmeister, MSW, LICSW
• Rebecca Lee Burud-Kolander, SLP
• Lisbeth Melissa Castillo
• Chad Brown, D.D.S., P.C.

• All providers in Jackson, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.