BRADLEY BENJAMIN GRAHAM
NPI 1700596681
Student in an Organized Health Care Education/Training Program in Park Rapids, MN

Active since December 01, 2022
20062 FOXGLOVE DR, PARK RAPIDS, MN 56470(218) 366-1820 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bradley Benjamin Graham NPPES

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

BRADLEY BENJAMIN GRAHAM (NPI 1700596681) is an individual student in an organized health care education/training program in Park Rapids, Minnesota and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1700596681
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADLEY BENJAMIN GRAHAM
Location Address20062 FOXGLOVE DRPark Rapids, MN 56470-2182
Mailing Address20062 Foxglove DrPark Rapids, MN 56470-2182 · (218) 366-1820
Sole ProprietorNo
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1700596681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20062 FOXGLOVE DR, Park Rapids, MN 56470

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 Graham's NPI number?

The NPI number for Bradley Graham is 1700596681. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Where is Bradley Graham located?

Bradley Graham practices at 20062 Foxglove Dr, Park Rapids, MN 56470. The listed phone number is (218) 366-1820.

What is Bradley Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bradley Graham was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.