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BRADLEY M VIVODA CSAC
NPI 1427760735
Counselor - Addiction (Substance Use Disorder) in Appleton, WI

Active since December 19, 2022
3301 N BALLARD RD, APPLETON, WI 54911(920) 733-4443 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley M Vivoda Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY M VIVODA CSAC (NPI 1427760735) is an individual addiction (substance use disorder) provider in Appleton, Wisconsin, licensed in Wisconsin (12488-132) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1427760735
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRADLEY M VIVODACredential: CSAC
Location Address3301 N BALLARD RDAppleton, WI 54911-8928
Mailing Address3301 N Ballard RdAppleton, WI 54911-8928 · (920) 733-4443
Phone(920) 733-4443
Sole ProprietorYes
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1427760735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 12488-132
3301 N BALLARD RD, Appleton, WI 54911
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HELENE OLKOWSKI LPC, CADC III
Counselor (Professional)
3301 N BALLARD RD, SUITE C
APPLETON, WI 54911
Outagamie County (920) 202-3954
ASHLEY BEHLING
Counselor (Addiction (Substance Use Disorder))
3301 N BALLARD RD, SUITE B
APPLETON, WI 54911
Outagamie County (920) 733-4443
MILWAUKEE HEALTH SERVICES
Substance Abuse Rehabilitation Facility
3301 N BALLARD RD
APPLETON, WI 54911
Outagamie County (920) 733-4443
MRS. JENNIFER ROSE CRONIN LPN
Licensed Practical Nurse
3301 N BALLARD RD
APPLETON, WI 54911
Outagamie County (920) 733-4443
PARNEE PARAS LPN
Licensed Practical Nurse
3301 N BALLARD RD
APPLETON, WI 54911
Outagamie County (920) 733-4443
JANE L JUMES PA
Physician Assistant
3301 N BALLARD RD, SUITE B
APPLETON, WI 54911
Outagamie County (920) 733-4443
GWENDOLYNN STELLA LPN
Licensed Practical Nurse
3301 N BALLARD RD
APPLETON, WI 54911
Outagamie County (920) 733-4443
ASHLEY BESSETTE LPN
Licensed Practical Nurse
3301 N BALLARD RD, SUITE B
APPLETON, WI 54911
Outagamie County (920) 733-4443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Vivoda's NPI number?

The NPI number for Bradley Vivoda is 1427760735. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Bradley Vivoda located?

Bradley Vivoda practices at 3301 N Ballard Rd, Appleton, WI 54911. The listed phone number is (920) 733-4443.

What is Bradley Vivoda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bradley Vivoda was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.