John Mackemer Bradley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2935 Issued in CO

Practice address

1777 S Harrison St Ste 805
Denver, CO 80210-3933

Phone

(303) 691-1700

Fax

(303) 758-5319

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mac Bradley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003820028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 805",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103933",
            "telephone_number": "303-691-1700",
            "fax_number": "303-758-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST STE 805",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103933",
            "telephone_number": "303-691-1700",
            "fax_number": "303-758-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JOHN",
        "middle_name": "MACKEMER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAC",
            "last_name": "BRADLEY",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chloe Bradley-Smith, LPCC
• Amber Nichole Bradley, COTA
• Brian Sean Bradley
• Christopher A Bradley, BT
• John C Bradley, CRNA
• Megan Bradley, RDN
• Nicholas Bradley, PHARMD.
• Peter H Bradley, LCSW
• Ryan Bradley
• Takiya Bradley

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.