Individual provider Active NPI

Bradley J Patterson, L.AC.

  • Acupuncturist
  • Bel Air, MD
National Provider Identifier
1003175985
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01599 Issued in MD
Practice address
424 Barnes St
Second Floor
Bel Air, MD 21014-3958
Phone
(410) 638-5544
NPI assigned
May 11, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U01599MDMDAcupuncturist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01599 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

424 Barnes St
Second Floor
Bel Air, MD 21014-3958

Mailing address

424 Barnes St
Second Floor
Bel Air, MD 21014-3958
Phone (410) 638-5544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2012.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1003175985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BARNES ST",
            "address_2": "SECOND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143958",
            "telephone_number": "410-638-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BARNES ST",
            "address_2": "SECOND FLOOR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143958",
            "telephone_number": "410-638-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.