JON EDWIN BRADBURY MD NPI 1679514285

NPI Information

  • NPI: 1679514285
  • Provider Name: JON EDWIN BRADBURY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 929 CENTRAL AVE. NW
    EAST GRAND FORKS, MN
    ZIP 56721
  • Phone: (218) 773-6800

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NPI Details

Jon Edwin Bradbury, MD is a family medicine in East Grand Forks, MN with 28 years of experience. 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. Jon Edwin Bradbury, MD NPI is 1679514285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

929 CENTRAL AVE. NW
EAST GRAND FORKS, MN
ZIP 56721
Phone: (218) 773-6800
Fax: (218) 773-6861

The NPI 1679514285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Hemoglobin a1c level (HCPCS:83036)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Removal of impacted ear wax by washing (HCPCS:69209)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)

The enumeration date for this NPI number is 6/8/2006 and was last updated on 11/16/2022.

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 Medicine8277NORTH DAKOTANo
2207Q00000XFamily Medicine43109MINNESOTAYes

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
126520OTHERNORTH DAKOTABCBS
2NA4571025060OTHERPREFERRED ONE
311142MEDICAIDNORTH DAKOTA
4420032200MEDICAIDMINNESOTA
5500M4BROTHERMINNESOTABCBS
60123581OTHERMEDICA
7HP31099OTHERHEALTH PARTNERS

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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