DEL-LANDRIA BRADLEY


Address: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457
Phone: 8434557505

DEL-LANDRIA BRADLEY (NPI# 1386026383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386026383
Entity Type Individual
Full Name DEL-LANDRIA BRADLEY
Credential SLPA
Practice Address 4761 Highway 501 Ste 1
Myrtle Beach
SC 29579-9457
Mailing Address Po Box 1523
Little River
SC 29566-1523
Practice Telephone 8434557505
Enumeration Date 2015-06-25
Last Update Date 2015-06-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
5704 SC Speech, Language and Hearing Service Providers

Office Location

Street Address 4761 HIGHWAY 501 STE 1
City MYRTLE BEACH
State SC
Zip Code 29579-9457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780998849 Rachel Clare Kunz Physical Therapist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2010-07-31
1568078400 Emily Lawrence Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2020-09-16
1770125221 Jill Hafenbreidel Occupational Therapist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2019-10-16
1821640566 Stephanie Schank Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2019-07-12
1922567049 Danielle Stewart Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2019-03-18
1558831966 Raymond Phillip Laspada Physical Therapist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2018-11-28
1972071819 Lisa Merriman Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2018-11-08
1851887343 Cameron White Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2018-07-08
1053793083 Jessica Crowninshield Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2015-06-25
1427430438 Teah Valrie Speech-Language Pathologist 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579-9457 2015-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598323198 P & E Company Counselor 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 2019-05-30
1528624632 Matthew Meehan Nurse Practitioner 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 2019-05-14
1427518265 Brian Donovan Doherty Student in an Organized Health Care Education/Training Program Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 2019-03-20
1508347931 South Carolina Cvs Pharmacy LLC Pharmacy 578 International Dr, Myrtle Beach, SC 29579 2018-08-23
1497256176 Orthosc LLC Orthopaedic Surgery 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 2018-02-27
1740708981 Dental Professional of South Carolina, P.C. Dentist 568 International Dr, Myrtle Beach, SC 29579 2017-09-08
1093232480 Johnathan T Steppe Dentist 568 International Drive, Myrtle Beach, SC 29579 2017-08-25
1346638483 Little River Medical Center, Inc Clinic/Center 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 2014-12-23
1154726818 Mina Gaid Pharmacist 1303 38th Avenue North, Myrtle Beach, SC 29579 2014-10-23
1528471364 Paola Goyeneche Counselor 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 2014-06-10
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124651377 Amanda Mcbrayer Specialist/Technologist 200 Idonia Dr, Taylors, SC 29687-3813 2020-02-17
1033760384 Leslie Hagood Specialist/Technologist 138 Larkspur Ln, Columbia, SC 29229-8173 2019-09-26
1134616162 Adriana Kelly Specialist/Technologist 714 S Lake Dr Ste 151, Lexington, SC 29072-3462 2018-04-16
1033623897 Debra L Penland Specialist/Technologist 131 Charles B Gibson Blvd, Goose Creek, SC 29445-4559 2017-11-30
1336671296 Natalie M Clark Specialist/Technologist 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 2017-03-30
1285181347 Jennifer Wise Specialist/Technologist 310 Neely Ferry Road, Mauldin, SC 29662 2016-09-07
1902201296 Deborah Houk Cousins Specialist/Technologist 1183 Hebron Dunbar Rd, Bennettsville, SC 29512-7307 2014-10-29
1487991154 Shanta Latrice Chester Specialist/Technologist 603 N Dennis Ave, Bishopville, SC 29010-1437 2013-01-14
1447543616 Gwendolyn Barton Bozeman Specialist/Technologist 410 E Butler Rd, Mauldin, SC 29662-3250 2011-05-22
1750673737 Shamra O Richardson Specialist/Technologist 618 8th Ave, Aynor, SC 29511 2011-05-09
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Competitor

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City MYRTLE BEACH
Zip Code 29579

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Dataset Information

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.

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