GEORGE BRADLEY (NPI# 1992242440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992242440 |
| Entity Type | Individual |
| Full Name | GEORGE BRADLEY |
| Credential | LPC |
| Practice Address |
3524 Ne Stallings Dr Nacogdoches TX 75965-8728 |
| Mailing Address |
3524 Ne Stallings Drive Nacogdoches TX 75965 |
| Practice Telephone | 9365606855 |
| Practice Fax Number | 9365645232 |
| Mailing Telephone | 9366458084 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
15898 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720095227 | George Charles Bradley | Dentist | 650 W San Bernardino Rd, Covina, CA 91722-3741 | 2006-08-01 |
| 1033197645 | George Lee Bradley | Family Medicine | 615 S Dekalb St, Shelby, NC 28150-6184 | 2006-01-04 |
| 1902803638 | George Robert Bradley | Dentist | 123 Medical Dr, Boerne, TX 78006-1830 | 2005-07-07 |
| 1902418239 | George Frederick Bradley | Pharmacist | 525 Boston Post Rd E, Marlborough, MA 01752-3631 | 2020-08-18 |
| 1902139512 | George Alexander Bradley | Counselor | 605 Se 39th Ave, Portland, OR 97214-3216 | 2009-09-14 |
| Street Address |
3524 NE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-8728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821350083 | Meggie Rowland | Psychologist | 3524 Ne Stallings Dr, Nacogdoches, TX 75965-8728 | 2012-06-13 |
| 1275171142 | Ashley Michelle Smith | Counselor | 3524 Ne Stallings Dr, Nacogdoches, TX 75965-8728 | 2019-12-11 |
| 1104485663 | Meredyth Saige Byrd | Counselor | 3524 Ne Stallings Dr, Nacogdoches, TX 75965-8728 | 2019-06-10 |
| 1508340035 | Alisha Ferrell | Counselor | 3524 Ne Stallings Dr, Nacogdoches, TX 75965-8728 | 2018-09-20 |
| 1992224182 | Cynthia Peters Tillery | Counselor | 3524 Ne Stallings Dr, Nacogdoches, TX 75965-8728 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342741 | Deidra Harbour | Counselor | 3824 N University Dr, Nacogdoches, TX 75965-2011 | 2020-06-30 |
| 1043718133 | Stephanie Knott | Counselor | 4632 Ne Stallings Dr Ste 100, Nacogdoches, TX 75965-1621 | 2018-01-24 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1184011488 | Tiffany Telesca | Counselor | 320 North St Ste 203, Nacogdoches, TX 75961-5018 | 2015-04-24 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| 1053747410 | Sarah Joy Wilson | Counselor | 17053 Us Highway 259, Nacogdoches, TX 75965-8316 | 2013-09-17 |
| 1720355639 | Sheri A Mullican | Counselor | 210 County Road 2041, Nacogdoches, TX 75965-0466 | 2011-11-20 |
| 1770881500 | Binta Yaisa Brown | Counselor | 115 Esther Blvd, # C, Nacogdoches, TX 75964-6739 | 2011-03-02 |
| 1346547338 | Jennifer J. Ewing | Counselor | 1812 Springbrook St, Nacogdoches, TX 75965-2162 | 2011-02-28 |
| 1912223652 | Horizon Counseling and Educational Services, LLC | Counselor | 220 E California St, Nacogdoches, TX 75965-3528 | 2010-04-19 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on GEORGE 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.