Provider Demographics
NPI:1013908789
Name:CURRIER, BRADLEY E (MD)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:E
Last Name:CURRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CENTRACARE CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-5000
Mailing Address - Country:US
Mailing Address - Phone:320-240-2205
Mailing Address - Fax:320-229-5174
Practice Address - Street 1:1900 CENTRACARE CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-5000
Practice Address - Country:US
Practice Address - Phone:320-240-2205
Practice Address - Fax:320-229-5174
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22343207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
504R1CU(PL)OtherBLUE CROSS BLUE SHIELD
986005OtherPREFERRED ONE
6D060CUOtherBLUE CROSS BLUE SHIELD
457290400OtherMEDICAL ASSISTANCE
100007123OtherRR MEDICARE
110895OtherU-CARE
600907OtherARAZ GROUP/AMERICAS PPO
2900209OtherMEDICA HEALTH PLANS
HP25411OtherHEALTH PARTNERS
100000459Medicare ID - Type Unspecified
6D060CUOtherBLUE CROSS BLUE SHIELD