Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michelle Renae Bradley, DO

Individual provider Family Medicine Physician · NPI 1003015314

Dr. Michelle Renae Bradley, DO is a Family Practice in Fargo, North Dakota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2004, 22 years ago. Practices with Innovis Health LLC, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
22
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MN, ND
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4110 51st Ave S
Fargo, ND 58104-7776
Phone: (701) 364-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14577 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence 52168 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence PT14577 (ND)

Record details

NPI number1003015314
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESJuly 21, 2022
Mailing address1702 South University Drive, Fargo, ND 58103-4940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2004 (22 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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