Bradley Havelka, ED.S.
NPI 1720488497ActiveIndividual· Specialist· Mentor, OH
Specialist (ED.S.) in Mentor, Ohio, licensed in OH, with an NPI issued in August 2014.
Overview
| NPI | 1720488497 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED.S. |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2014 |
| Last updated in NPPES | Aug 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | OH3175620 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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