Allison Elizabeth Bradley, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

21970 Issued in OR

Practice address

3502 NE Broadway St
Portland, OR 97232-1821

Phone

(503) 284-1906

Fax

(503) 546-0894

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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.

• Pacific Audiology Clinic, LLC

  • Audiologist
  • Portland, OR
  • NPI 1114108933

  OR

  Medicare reassignment Care Compare group Authorized official

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Audiology Clinic LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1093936619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321821",
            "telephone_number": "503-284-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321821",
            "telephone_number": "503-284-1906",
            "fax_number": "503-546-0894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 S Macadam Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972399723",
            "country_code": "US",
            "telephone_number": "503-719-4208",
            "fax_number": "503-719-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ALLISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "21970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Francis Bradford, QMHA
• Tristan S Bradford
• William James Bradford, CADC INTERN
• Peggy Ann Bradley Pearson, ANP
• Greg Edward Bradley-Popovich, DPT
• Alyssa Bradley
• Bridget Ashley Bradley, PHARM D, BCPP
• Charniece Bradley
• D'Angelo Bradley
• Daydra Dawn Bradley, MSC/CIT

• All providers in Portland, OR
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.