Active NPI
Bradley Richey
- Student in an Organized Health Care Education/Training Program
- Orlando, FL
National Provider Identifier
1063092799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 9975 Tavistock Lakes Blvd
Orlando, FL 32827-7664 - Phone
- (407) 266-3627
- NPI assigned
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
9975 Tavistock Lakes Blvd
Orlando, FL 32827-7664
Mailing address
518 Birchwood Ave
Traverse City, MI 49686-2012
Phone (321) 482-0834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1063092799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 BIRCHWOOD AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862012",
"telephone_number": "321-482-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 TAVISTOCK LAKES BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277664",
"telephone_number": "407-266-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "BRADLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.