Bradley G Vantatenhove
Bradley G Vantatenhove is a Physician Assistant in Bloomington, Minnesota. Qualified in 2024, 2 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 2
- Licensed in
- MN
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
8100 Northland DrBloomington, MN 55431-4800
Phone: (952) 831-8742
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 9555 Upland Ln N, Maple Grove, MN 55369-4485 — (952) 993-1440
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 15272 (MN) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
| Surgical Physician Assistant | Taxonomy 363AS0400X |
Record details
| NPI number | 1477360519 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 12, 2024 |
| Last updated in NPPES | February 19, 2025 |
| Certification date | February 19, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Bloomington
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Anne M Brooker, PA-C
600 W 98th St, Bloomington, MN 55420-4773 · (952) 885-6150
-
David Cushman, PA-C
8357 Blaisdell Ave S, Bloomington, MN 55420-2220 · (763) 234-3107
-
Ryan Edward Deering, PA-C
4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 · (952) 857-1519
-
Mr. Erik C Rivers, PA
4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 · (952) 767-4574
-
Michelle Ann Wanner, PA-C
4801 W 81st St Ste 112, Bloomington, MN 55437-1111 · (952) 345-3000