Active NPI
Hasyrah Bradley
- Behavior Technician
- Bowie, MD
National Provider Identifier
1043872294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3231 Superior LN
Bowie, MD 20715-1923 - Phone
- (240) 547-9939
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3231 Superior LN
Bowie, MD 20715-1923
Mailing address
14229 Jib St Apt 32
Laurel, MD 20707-6166
Phone (240) 351-7845
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/a | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1043872294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14229 JIB ST APT 32",
"city": "LAUREL",
"state": "MD",
"postal_code": "207076166",
"telephone_number": "240-351-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 SUPERIOR LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151923",
"telephone_number": "240-547-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "HASYRAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "3231 Superior Ln",
"city": "Bowie",
"state": "MD",
"country_code": "US",
"postal_code": "207151923",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.