Bradley Kent Lindstrom Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

50 Union St
Ellsworth, ME 04605-1599

Phone

(207) 664-5340

Fax

(207) 664-5338

NPI assigned

Aug 4, 2010

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

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Hot Springs County Hospital District

  • Critical Access Hospital
  • Thermopolis, WY
  • NPI 1861550642
  Medicare reassignment NPD
• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment NPD
• Summit Medical Group, LLC

  dba Aligned Providers of Wyoming

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1457802993
  Medicare reassignment
• Hot Springs County Hospital District

  dba Hot Springs Health Surgical Clinic

  • Specialist
  • Thermopolis, WY
  • NPI 1275172876
  NPD
• Hot Springs County Hospital District

  dba Hot Springs Health Riverton

  • Rural Health Clinic/Center
  • Riverton, WY
  • NPI 1841814084
  NPD
• Ivinson Memorial Hospital

  • Rural Acute Care Hospital
  • Laramie, WY
  • NPI 1366626269
  NPD
• Care at Home Physicians, LLC

  • General Practice Physician
  • Burr Ridge, IL
  • NPI 1538500640
  NPD (past)
• Centegra Primary Care, LLC

  dba Centegra Physician Care, LLC

  • Family Medicine Physician
  • Woodstock, IL
  • NPI 1700905205
  NPD (past)
• Clinic 1, LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1760858633

  Physician Assistant

  NPD (past)
• Emergency Room Care Providers, S.C.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1417990219
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1861706681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S YALE ST",
            "address_2": "STE 150",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017337",
            "telephone_number": "928-527-4325",
            "fax_number": "928-527-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051599",
            "telephone_number": "207-664-5340",
            "fax_number": "207-664-5338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S YALE ST",
            "address_2": "STE 150",
            "address_purpose": "LOCATION",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017337",
            "country_code": "US",
            "telephone_number": "928-527-4325",
            "fax_number": "928-527-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "BRADLEY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leonardi, LMT
• Wendy A Lessard, LMT
• Whitney A Levasseur, COTA/L
• Kristan Lewis, MS, OTR/L
• Life Source Family Chiropractic LLC
• Deborah W Loftus, PH.D.
• Jeannie Lou Loos, LMSWCC
• Melissa Loring
• Stephanie Lovejoy
• Desiree Luzzi

• Physician Assistant in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.