Bradley E Habermehl OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003225 Issued in MI

Legal business name

BRADLEY E HABERMEHL OD PC

Practice address

4091 Richfield Rd
Flint, MI 48506-2033

Phone

(810) 736-0710

Fax

(810) 736-2713

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Bradley Habermehl, O.D.

Title

President

Phone

(810) 736-0710

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1043342074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 RIDGEMOOR CT",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091391",
            "telephone_number": "810-736-0710",
            "fax_number": "810-736-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062033",
            "telephone_number": "810-736-0710",
            "fax_number": "810-736-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY E HABERMEHL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HABERMEHL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-736-0710",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900B565300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Braden, FNP-C
• Ryan Braden, PA-C
• Jessie Lyn Bradford
• Sidney Bradford, LLBSW
• Xavier Demarius Bradford, DDS
• Bradley E. Habermehl
• Jared Bradley, DO
• Macie Bradley, LPN
• Michael J Bradley, LBSW
• Shaleeka Shawn Bradley, LLMSW

• Optometrist in Flint, MI
• Providers in Flint, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.