Active NPI
Anthony Joseph Bradt, O.D.
- Optometrist
- Middletown, NY
National Provider Identifier
1114099520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5430
- Practice address
- 470 Route 211 E
Middletown, NY 10940-2245 - Phone
- (845) 342-0426
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5430 | NY | Primary |
Addresses
Primary practice location
470 Route 211 E
Middletown, NY 10940-2245
Mailing address
92 Palarino LN
Bloomingburg, NY 12721-5207
Phone (845) 733-1590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5430 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1114099520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 PALARINO LN",
"city": "BLOOMINGBURG",
"state": "NY",
"postal_code": "127215207",
"telephone_number": "845-733-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 ROUTE 211 E",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402245",
"telephone_number": "845-342-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADT",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "5430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.