| Doctor Name: | DR. BRADLEY DAVID KUSLER |
| NPI Number: | 1104988385 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 29399 |
| Business Practice Address: | 105 Grant Cir Ste 133 55th Amds-sgps Offutt A F B, NE - 681134041 |
| Business Phone Number: | 4022947346 |
| Business Fax Number: | 4022949138 |
| Mailing Address: | 408 Fawn Park Cir, COUNCIL BLUFFS |
| State: | IA |
| Postal Code: | 515035294 |
| Phone Number: | 4023214297 |
| Fax Number: | 7123288295 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 29399 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |