MR. CHARLES E. BRADLEY III (NPI# 1568674125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568674125 |
| Entity Type | Individual |
| Full Name | MR. CHARLES E. BRADLEY III |
| Credential | L.P.C., L.M.F.T. |
| Practice Address |
135 Croydon Ave Suite A Baton Rouge LA 70806-4502 |
| Practice Telephone | 2259288557 |
| Practice Fax Number | 2259288923 |
| Mailing Telephone | 2259288557 |
| Mailing Fax Number | 2259288923 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
11544 | TX | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
1999 | LA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 2707 | TX | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MFT 44 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356696157 | Charles A. Bradley | Obstetrics & Gynecology | 5521 Berkeley Rd, Santa Barbara, CA 93111-1615 | 2012-07-17 |
| 1851557409 | Charles Glenn Bradley | Social Worker | 213 Lovern St, Suite 6, Hazard, KY 41701-1761 | 2008-08-04 |
| 1225193295 | Charles Bradley | Dentist | 489 W Harwood Rd, Hurst, TX 76054-2943 | 2006-12-27 |
| 1265804231 | Charles Bradley | Counselor | 1615 Johnson St Ste C, Jennings, LA 70546-3650 | 2015-10-29 |
| 1891838827 | Charles N Bradley | Nurse Anesthetist, Certified Registered | 50 Medical Park East Drive, Birmingham, AL 35235 | 2007-02-15 |
| 1659384105 | Charles Wesley Bradley | Dentist | 8315 Walnut Hill Ln, Suite 200, Dallas, TX 75231-4218 | 2006-08-15 |
| Street Address |
135 CROYDON AVE SUITE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
| 1811510977 | Amanda Elizabeth Bourgeois | Counselor | 4329 Arrowhead St, Baton Rouge, LA 70808-3921 | 2020-05-24 |
| 1497389712 | Steven Naquin | Counselor | 2798 Oneal Ln Ste 8, Baton Rouge, LA 70816-3408 | 2020-02-25 |
| 1255974879 | Lisa Head | Counselor | 630 Richland Ave, Baton Rouge, LA 70806-5766 | 2019-10-27 |
| 1154983633 | Whole Health Counseling & Consulting, LLC | Counselor | 11613 Newcastle Ave Ste B-1, Baton Rouge, LA 70816-2215 | 2019-07-03 |
| 1013473396 | Corey C Taylor Sr. | Counselor | 9558 Mesa Verde Ave, Baton Rouge, LA 70814-4017 | 2019-02-12 |
| 1083187470 | Alycia Bueche | Counselor | 8738 Quarters Lake Rd Bldg 5, Baton Rouge, LA 70809-2194 | 2019-01-08 |
| 1417425109 | Norma Arlene Magee | Counselor | 2519 Rhododendron Ave, Baton Rouge, LA 70808-2265 | 2018-11-11 |
| 1578039640 | Michelle Murphy Rutherford | Counselor | 10935 Major Oak Dr, Baton Rouge, LA 70815-5445 | 2018-10-16 |
| 1144721259 | Michael R. Feldman, LLC | Counselor | 12097 Old Hammond Hwy., I-3, Baton Rouge, LA 70816-8679 | 2018-02-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on MR. CHARLES E. BRADLEY III.
| 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.