BRADLEY BYRD (NPI# 1356881379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356881379 |
| Entity Type | Individual |
| Full Name | BRADLEY BYRD |
| Credential | CADC 1 |
| Practice Address |
88715 Knight Rd Veneta OR 97487-9469 |
| Practice Telephone | 5412845646 |
| Practice Fax Number | 5416839061 |
| Mailing Telephone | 5412845646 |
| Mailing Fax Number | 5416839061 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13-13-08 | OR | Behavioral Health & Social Service Providers |
| Street Address |
88715 KNIGHT RD |
| City | VENETA |
| State | OR |
| Zip Code | 97487-9469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962858464 | All Seasons Family Medicine PC | Preferred Provider Organization | 25045 Dunham Ave., Veneta, OR 97487 | 2016-05-13 |
| 1932440492 | Elizabeth Jane Hoffmann | Veterinarian | 88233 Territorial Hwy, Veneta, OR 97487 | 2013-03-08 |
| 1730429986 | Ryan P Frome | Veterinarian | 88233 Territorial Rd, Veneta, OR 97487 | 2013-02-26 |
| 1225254402 | Tracy R Robinson | Dentist | 25078 Hunter Rd., Veneta, OR 97487 | 2007-04-17 |
| 1770650707 | Christa Hitt | Counselor | 87576 Trek Drive, Veneta, OR 97487 | 2006-11-28 |
| 1871665745 | Donald C. Stair | Dentist | 25078 Hunter Ave, Veneta, OR 97487 | 2006-11-15 |
| 1861427627 | Shane Alan Gofourth | Chiropractor | 88124 Territorial Rd., Veneta, OR 97487 | 2006-07-11 |
| 1518990621 | Icco, LLC | Family Medicine | 87983 Territorial Rd, Veneta, OR 97487 | 2006-07-09 |
| 1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
| 1437713252 | Veneta Family Dental | Dentist | 25078 Hunter Rd, Veneta, OR 97487 | 2019-04-26 |
| Find all providers in zip 97487 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
| 1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
| 1013522663 | Red Is The Road To Wellness (rrw) | Counselor | 3206 Onyx Ave, Klamath Falls, OR 97603-7279 | 2020-09-10 |
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
| 1821615832 | Cynthia Machelle Gonzalez | Counselor | 925 Avenue S Unit 1, Seaside, OR 97138-7780 | 2020-06-25 |
| 1720603335 | Benetta Vincent | Counselor | 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 | 2020-06-09 |
| 1669092201 | Exodus Recovery Services LLC. | Counselor | 230 N 3rd St Ste 105, Harrisburg, OR 97446-9679 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.