MR. BRIAN DAVID BRADLEY (NPI# 1619384815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619384815 |
| Entity Type | Individual |
| Full Name | MR. BRIAN DAVID BRADLEY |
| Practice Address |
30200 Telegraph Rd Suite 207 Bingham Farms MI 48025-4502 |
| Mailing Address |
4217 Arlington Dr Royal Oak MI 48073-6305 |
| Practice Telephone | 2487121129 |
| Practice Fax Number | 2485699410 |
| Mailing Telephone | 2487619679 |
| Mailing Fax Number | 2485699410 |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2014-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006993 | MI | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
CC-0C3110345997 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1104474147 | Brian Michael Bradley I | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2019-09-03 |
| 1184023475 | Brian Bradley | Licensed Practical Nurse | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2014-08-22 |
| 1124347935 | Brian Sean Bradley | Physical Therapy Assistant | 700 Colorado Blvd, Ste 318, Denver, CO 80206-4084 | 2010-05-19 |
| 1265760029 | Brian Michael Bradley | Specialist/Technologist | 745 Orienta Ave, Suite 1015, Altamonte Springs, FL 32701-5619 | 2009-12-05 |
| 1740347608 | Brian William Bradley | Psychologist | 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | 2007-01-02 |
| 1063590354 | Brian William Bradley | Physical Therapist | 1050 Old Des Peres Rd, Suite 40, Saint Louis, MO 63131-1873 | 2006-11-02 |
| 1881610616 | Brian M. Bradley | Pain Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711 | 2006-07-14 |
| 1356383269 | Brian A Bradley | Urology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-06-12 |
| 1083611420 | Brian S Bradley | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2005-06-30 |
| Street Address |
30200 TELEGRAPH RD SUITE 207 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659366680 | Melissa G Diffenderfer | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2005-09-15 |
| 1376001180 | Cheryl Lugean Mason | Counselor | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2019-03-11 |
| 1457843203 | Ashlyn Paige Compau | In Home Supportive Care | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2018-06-06 |
| 1932636727 | Justin Doty | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2017-05-11 |
| 1063864494 | Rhondi Lynne Mcgill | Social Worker | 30200 Telegraph Rd, Suite207, Bingham Farms, MI 48025-4502 | 2016-07-09 |
| 1790130953 | Samuel Broaden | Driver | 30200 Telegraph Rd, 404, Bingham Farms, MI 48025-4502 | 2016-04-25 |
| 1376942599 | Lisa Ann Weiss | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-08-14 |
| 1730511346 | Direct Path Services, P.C. | Clinical Medical Laboratory | 30200 Telegraph Rd, Suite 405, Bingham Farms, MI 48025-4502 | 2013-08-06 |
| 1881036754 | Apex Therapy Services, Inc | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2013-07-22 |
| 1275805483 | Katie Perz Zacharzewski | Anesthesiology | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083194641 | Melissa Fleezanis | Psychologist | 31600 Telegraph Rd Ste 260, Bingham Farms, MI 48025-4372 | 2018-08-14 |
| 1548542186 | Mark Gregory Iszak | Psychologist | 30150 Telegraph Rd Ste 245, Bingham Farms, MI 48025 | 2011-09-09 |
| 1235433566 | Steven C Fischer Phd PC | Psychologist | 30100 Telegraph Rd Ste 336, Bingham Farms, MI 48025-5808 | 2010-12-29 |
| 1114078466 | Alicia Schneider Acey | Psychologist | 31600 Telegraph Rd, Suite 280, Bingham Farms, MI 48025-4370 | 2007-01-15 |
| 1033725379 | Elizabeth Anastasia | Psychologist | 30200 Telegraph Rd Ste 207, Bingham Farms, MI 48025-5711 | 2020-09-22 |
| 1316498967 | Chelsea Ann Williams | Psychologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2016-10-19 |
| 1740615210 | Rebecca Horn | Psychologist | 31000 Telegraph Rd, Suite 150, Bingham Farms, MI 48025-4360 | 2013-09-03 |
| 1881036754 | Apex Therapy Services, Inc | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2013-07-22 |
| 1033365580 | Jill Chimene Hardin | Psychologist | 30200 Telegraph Rd, Suite 402, Bingham Farms, MI 48025-4502 | 2008-08-15 |
| 1548426877 | Pinnacle Rehabilitation Services, Pllc | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2008-08-06 |
| Find all providers in BINGHAM FARMS | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on MR. BRIAN DAVID BRADLEY.
| 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.