Individual provider Active NPI

Bradley Dean Meier, LMT

  • Massage Therapist
  • Fargo, ND
National Provider Identifier
1992458368
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21159 Issued in ND
Practice address
3161 43Rd St S.
Fargo, ND 58104-8791
Phone
(701) 893-2639
Fax
(701) 893-2638
NPI assigned
Jan 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 21159 ND Primary

Addresses

Primary practice location

3161 43Rd St S.
Fargo, ND 58104-8791

Mailing address

3161 43Rd St S
Fargo, ND 58104-8791
Phone (701) 893-2639

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

Practice roles

OrganizationSpecialtyStatusNew patients
Body Works Physical Therapy, LTD. CurrentSince Feb 1, 2022 Accepting new patients
Body Works Physical Therapy, LTD. CurrentSince Feb 1, 2022 Accepting new patients

Locations

3161 43rd St S
Fargo, ND 58104
Phone (701) 893-2639

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1992458368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S.",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "BRADLEY",
        "middle_name": "DEAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ND",
            "license": "21159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.