Individual provider Active NPI

Janet Lea Bradach

  • Community/Behavioral Health Agency
  • Belle Plaine, MN
National Provider Identifier
1851555726
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
26260 Busch Dr
Belle Plaine, MN 56011-5119
Phone
(952) 607-6509
Fax
(952) 873-3845
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

26260 Busch Dr
Belle Plaine, MN 56011-5119

Mailing address

26260 Busch Dr
Belle Plaine, MN 56011-5119
Phone (952) 607-6509

Other names 1

  • Janet Lea Bjerke Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1851555726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26260 BUSCH DR",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560115119",
            "telephone_number": "952-607-6509",
            "fax_number": "952-873-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26260 BUSCH DR",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560115119",
            "telephone_number": "952-607-6509",
            "fax_number": "952-873-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADACH",
        "first_name": "JANET",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BJERKE",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belle Plaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.