Brian J. Bradford, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC05048 Issued in AL

Practice address

300 Century Park S Ste 100
Birmingham, AL 35226-3924

Phone

(205) 547-2721

NPI assigned

Jan 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1114780574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CAMBRIAN RIDGE TRL",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244822",
            "telephone_number": "205-567-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTURY PARK S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263924",
            "telephone_number": "205-547-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Century Park S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352263922",
            "country_code": "US",
            "telephone_number": "205-567-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "BRIAN",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda S Braddock, CO
• Adam Christopher Braden, M.D.
• Leah S Braden, DPT
• Stephen Braden, MD
• Ayshea Janae Bradford, MSN, CRNP, FNP-BC
• Davis Bradford, M.D.
• Edward Bradford, DDS
• Gracie Bradford, PHARMD
• Hilary Daly Bradford, APRN
• Jessica Renae Bradford, M.D.

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.