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DR. BRADLEY BENTON LUTZ M.D.
NPI 1891488664
Student in an Organized Health Care Education/Training Program in Grand Forks, ND

Active since May 30, 2023PECOS Enrolled
725 HAMLINE ST, GRAND FORKS, ND 58203(701) 780-6810 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley Benton Lutz M.d. NPPES

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

DR. BRADLEY BENTON LUTZ M.D. (NPI 1891488664) is an individual student in an organized health care education/training program in Grand Forks, North Dakota and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891488664
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRADLEY BENTON LUTZCredential: M.D.
Location Address725 HAMLINE STGrand Forks, ND 58203-2819
Mailing Address919 Sunset DrGrand Forks, ND 58201-6853 · (307) 262-7221
Phone(701) 780-6810
Sole ProprietorNo
Enumeration DateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1891488664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
725 HAMLINE ST, Grand Forks, ND 58203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley Benton Lutz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

TAMIM KHROMACHOU MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6810
AMRINDER SINGH
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6810
ELISE DICK MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800
DR. A MARC NIELSEN MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800
THOMAS JAMES GANDER DO
Student in an Organized Health Care Education/Training Program
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800
MRS. JANA MARIE HANSON RPH
Pharmacist (Pharmacotherapy)
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6870
SHYLEEN HALL MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6814
VICTORIA GESKA MD
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Grand Forks County (701) 780-6800

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 Lutz's NPI number?

The NPI number for Bradley Lutz is 1891488664. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Bradley Lutz located?

Bradley Lutz practices at 725 Hamline St, Grand Forks, ND 58203. The listed phone number is (701) 780-6810.

What is Bradley Lutz's specialty?

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

Is Bradley Lutz enrolled in Medicare?

Yes. Bradley Lutz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Lutz was last updated on May 30, 2023. 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.