Bradford K.W. Chang, PHD

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

PY00002048 Issued in WA

Practice address

13620 NE 20TH St Ste I
Bellevue, WA 98005-4901

Phone

(425) 533-8173

NPI assigned

Jun 4, 2020

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

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1033733035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 147TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064601",
            "telephone_number": "425-533-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 NE 20TH ST STE I",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054901",
            "telephone_number": "425-533-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BRADFORD",
        "middle_name": "K.W.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "WA",
            "license": "PY00002048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher A. Chandler, LMHC
• Mary L Chandler, MD
• Siobhan Chandler, LMHCA
• Chang Han & Sung Han P.C. (Pristine Family & Implant Dentistry)
• Anny P Chang
• Gary Shu-Hao Chang, PHARM. D
• Gloria Chang, DNP
• Han Chang
• Jae Kyung Chang, D.C.
• Jenny Chang, PT, DPT, GCS, CEEAA

• Intellectual & Developmental Disabilities Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Intellectual & Developmental Disabilities Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.