BRADLEY ALLWIN MCDONALD MD NPI 1457302135

NPI Information

  • NPI: 1457302135
  • Provider Name: BRADLEY ALLWIN MCDONALD, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 819 ASH ST
    SPOONER, WI
    ZIP 54801
  • Phone: (715) 635-2111

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NPI Details

Bradley Allwin Mcdonald, MD is a family medicine in Spooner, WI. The provider is 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. Bradley Allwin Mcdonald, MD NPI is 1457302135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

819 ASH ST
SPOONER, WI
ZIP 54801-201
Phone: (715) 635-2111

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine40575MINNESOTANo
2207Q00000XFamily Medicine4366SOUTH DAKOTANo
3207Q00000XFamily Medicine30546IOWANo
4207Q00000XFamily Medicine9796NORTH DAKOTANo
5207Q00000XFamily Medicine39414-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G13123MEDICARE UPIN
232456200MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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