Bradley Vantatenhove
NPI 1477360519 · Physician Assistant · Bloomington, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bradley Vantatenhove is a Physician Assistant provider in Bloomington, MN (NPI 1477360519).
Provider details
- NPI number
- 1477360519
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9555 Upland Ln NMaple Grove, MN 55369-4485Phone: (952) 993-1440
Registry dates
- Enumerated
- 2024-12-12
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is Bradley Vantatenhove's NPI number?
- Bradley Vantatenhove's National Provider Identifier (NPI) is 1477360519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Vantatenhove's specialty?
- Bradley Vantatenhove is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Bradley Vantatenhove located?
- Bradley Vantatenhove's practice location on file with NPPES is 8100 Northland Dr, Bloomington, MN 55431-4800.
- What is Bradley Vantatenhove's phone number?
- The practice phone number listed in the NPPES registry for Bradley Vantatenhove is (952) 831-8742.
- Does Bradley Vantatenhove accept Medicare?
- Bradley Vantatenhove is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bradley Vantatenhove's NPI active?
- Yes — Bradley Vantatenhove's NPI (1477360519) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.