BRADLEY H KENNEDY (NPI# 1497223531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497223531 |
| Entity Type | Individual |
| Full Name | BRADLEY H KENNEDY |
| Credential | MRC, CRC |
| Practice Address |
1905 Elder Hill Rd Driftwood TX 78619-2102 |
| Practice Telephone | 2812028672 |
| Mailing Telephone | 2812028672 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| 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) |
111999 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497890420 | Bradley J Kennedy | Chiropractor | 393 Crossgates Boulevard, Suite B, Brandon, MS 39042 | 2007-02-20 |
| 1356741136 | Bradley Kennedy | Physical Therapist | 2200 Crow Ln, Myrtle Beach, SC 29577 | 2014-08-28 |
| Street Address |
1905 ELDER HILL RD |
| City | DRIFTWOOD |
| State | TX |
| Zip Code | 78619-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528373362 | Shelly Guillory | Registered Nurse | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2010-08-17 |
| 1174019574 | Ramon Jacob Umanzor | Counselor | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2018-07-09 |
| 1124577440 | Obrc Operations, LLC | Substance Abuse Rehabilitation Facility | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2016-09-28 |
| 1477991826 | Melanie A Merlich Somerville | Counselor | 1905 Elder Hill Rd, Driftwood, TX 78619 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958891 | Robbie W Burdeniuk | Registered Nurse | 188 Southern Sunset Cv, Driftwood, TX 78619-1501 | 2007-03-09 |
| 1851605802 | Imperial Med Services, LLC | Specialist | 188 Southern Sunset Cv, Driftwood, TX 78619-1501 | 2010-08-02 |
| 1225165301 | Steven Vincent Malone | Physical Therapist | 2974 La Ventana Pkwy, Driftwood, TX 78619-4266 | 2007-02-27 |
| 1881806461 | Laura Elizabeth Anton | Pediatrics | 313 Shelf Rock, Driftwood, TX 78619-4377 | 2007-05-04 |
| 1225108913 | Kathryn Monica Gomez-flaming | Nurse Practitioner | 199 Pine Post Cv, Driftwood, TX 78619-4443 | 2006-11-09 |
| 1194374769 | Michael David Yerger | Technician | 710 Hawthorne Loop, Driftwood, TX 78619-4450 | 2019-09-06 |
| 1043869613 | Rebecca Price Yerger | Technician | 710 Hawthorne Loop, Driftwood, TX 78619-4450 | 2019-09-06 |
| 1225654692 | Hannah Eubank | Counselor | 1850 Elder Hill Rd Unit D, Driftwood, TX 78619-5501 | 2020-06-22 |
| 1164053807 | Taylor Renee Britton | Student in an Organized Health Care Education/Training Program | 226 Marigold Ct, Driftwood, TX 78619-5738 | 2020-01-31 |
| 1699381103 | Isabelle Camboulives Xenos | Massage Therapist | 265 Heatherwood Dr, Driftwood, TX 78619-8078 | 2020-09-20 |
| Find all providers in zip 78619 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174019574 | Ramon Jacob Umanzor | Counselor | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881655 | Frances Charline Lee Cole | Counselor | 6238 Raymond Rd, Kaufman, TX 75142-7624 | 2020-11-06 |
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1649879586 | Nicole Trevino | Counselor | 12631 E Clark Rd, La Feria, TX 78559-4528 | 2020-10-21 |
| 1144829060 | Reffitt Counseling, Pllc | Counselor | 301 S Rogers St Ste 106, Waxahachie, TX 75165-3682 | 2020-10-21 |
| 1548868664 | Michelle Villarreal | Counselor | 4720 Box Canyon Dr, Temple, TX 76502-7311 | 2020-10-12 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRADLEY H KENNEDY.
| 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.