JON E. BRADBURY MD – NPI #1679514285
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JON BRADBURY is a physician located in EAST GRAND FORKS, MN. NPPES has assigned the NPI number 1679514285 to JON BRADBURY on June 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Nov 16, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JON BRADBURY below.

NPI Profile for
JON E. BRADBURY

NPI Number
1679514285
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JON E. BRADBURY
Credentials
MD
Primary location
929 CENTRAL AVE. NW
EAST GRAND FORKS, MN 56721
Phone: (218) 773-6800 Fax: (218) 773-6861
Mailing address
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 16, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JON BRADBURY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSMN500M4BR
otherBCBSND26520
otherHEALTH PARTNERSHP31099
otherMEDICA0123581
otherPREFERRED ONENA4571025060
medicaidMN420032200
medicaidND11142
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ND 8277

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
929 CENTRAL AVE. NW,
EAST GRAND FORKS, MN 77025-1669

Additional Information

Education
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE - Graduated 1998
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JON BRADBURY is affiliated with the following medical group(s):
  • HOSPITAL
    • ALTRU HOSPITAL
      1200 S COLUMBIA RD
      GRAND FORKS, ND 58201
    • SANFORD MEDICAL CENTER FARGO
      801 BROADWAY NORTH
      FARGO, ND 58122
  • HOME HEALTH AGENCY
    • GOOD SAMARITAN SOCIETY HOME CARE
      302 7TH AVENUE NE
      DEVILS LAKE, ND 58301
  • HOSPICE
    • HOSPICE OF RED RIVER VALLEY
      1701 38TH ST S STE 101
      FARGO, ND 58103

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.