Provider Demographics
NPI:1144027699
Name:DUNKEL, BRADY JON
Entity type:Individual
Prefix:
First Name:BRADY
Middle Name:JON
Last Name:DUNKEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 W 3RD ST APT 14
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1786
Mailing Address - Country:US
Mailing Address - Phone:402-322-9850
Mailing Address - Fax:
Practice Address - Street 1:115 N LODI ST
Practice Address - Street 2:
Practice Address - City:VALENTINE
Practice Address - State:NE
Practice Address - Zip Code:69201-1736
Practice Address - Country:US
Practice Address - Phone:402-322-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant