Individual
BRADLEY JAY VANGORKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LISW
Contact information
Practice address
1935 1ST AVE SE, SUITE D, CEDAR RAPIDS, IA 52402-5325
(319) 531-1158
(319) 538-0461
Mailing address
1935 1ST AVE SE, SUITE D, CEDAR RAPIDS, IA 52402-5325
(319) 531-1158
(319) 538-0461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06248
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707310
—
IA
05
—
1707310
—
IA
05
—
2707310
—
IA
Enumeration date
11/21/2006
Last updated
01/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us