NPIMap

Individual provider Active NPI

Bradley Wayne Estes, PSY.D.

  • Clinical Neuropsychologist
  • Columbus, IN
National Provider Identifier
1013130871
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
20042177A Issued in IN
Practice address
2675 Fox Pointe Dr a
Columbus, IN 47203-3391
Phone
(812) 376-0900
Fax
(888) 366-7403
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20042177A IN Primary

Addresses

Primary practice location

2675 Fox Pointe Dr a
Columbus, IN 47203-3391

Mailing address

14740 N County Road 350 E
Hope, IN 47246-9623
Phone (812) 764-0733

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Association of Personal and Family Counselors Past Accepting new patients
Columbus Regional Hospital Past Accepting new patients
Christopher and Associates Past Accepting new patients
Walton Innovations Inc. Past Accepting new patients
Estes Neuropsychology, LLC Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1013130871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 N COUNTY ROAD 350 E",
            "city": "HOPE",
            "state": "IN",
            "postal_code": "472469623",
            "telephone_number": "812-764-0733",
            "fax_number": "888-366-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 FOX POINTE DR A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033391",
            "telephone_number": "812-376-0900",
            "fax_number": "888-366-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042177A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.