MR. BRADLEY ROBERT NELSON MALP
NPI 1902822919
Psychologist - Cognitive & Behavioral in Grand Rapids, MN

Q: What is Bradley Nelson's NPI number?

The NPI number for Bradley Nelson is 1902822919. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Bradley Nelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Nelson was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

215 SE 2ND AVE, GRAND RAPIDS, MN 55744(218) 326-1274(218) 326-9787 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Bradley Robert Nelson Malp NPPES

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

MR. BRADLEY ROBERT NELSON MALP (NPI 1902822919) is an individual cognitive & behavioral provider in Grand Rapids, Minnesota, licensed in Minnesota (LP0590) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1902822919

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameMR. BRADLEY ROBERT NELSONCredential: MALP

Location Address215 SE 2ND AVEGrand Rapids, MN 55744-3615

Mailing Address215 Se 2nd AveGrand Rapids, MN 55744-3615 · (218) 326-1274 · Fax (218) 326-9787

Phone(218) 326-1274

Fax(218) 326-9787

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJuly 14, 2006

Last NPPES UpdateJanuary 31, 2024

NPPES CertifiedJanuary 31, 2024

✔ NPI 1902822919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in MN · LP0590

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

215 SE 2ND AVE, Grand Rapids, MN 55744

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Other Identifiers 6

Other6275968MN · Medica

Other160767MN · Ucare

Other3032501MN · Preferred One

Other97026MN · Health Partners

Medicaid121052100MN

Other4K585NEMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Bradley Robert Nelson Malp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668994922

PECOS Enrollment IDI20250317002628

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.

CATHLEEN BENGTSON MA, LP

Psychologist (Clinical)