National Provider Identifier

Brady Jensen

Brady Jensen is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 898-3941.

NPI 1902600109Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1902600109
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 04, 2025
Last Updated
April 04, 2025

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-3941

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1902600109
Entity Type
Individual
Last Name
Jensen
First Name
Brady
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-3941
Mailing Fax
(716) 898-3279
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-3941
Practice Fax
(716) 898-3279
Enumeration Date
April 04, 2025
Last Updated
April 04, 2025
Sex
Male
Sole Proprietor
No
Certification Date
April 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)