Rebecca M Bradley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2215 Issued in AR

Practice address

18 County Road 458
Mountain Home, AR 72653-8212

Phone

(870) 425-5252

NPI assigned

Jan 12, 2007

Sex

Female

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)

Enrolled

State licenses

Practice roles

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.

• Ascent Acquisitions Corp-Cypdc

  • Developmentally Disabled Services Day Training Agency
  • Mountain Home, AR
  • NPI 1952434326

  Speech-Language Pathologist

  NPD (past)
• Ozark Shoulder to Hand Center LLC

  • Occupational Therapist
  • Mountain Home, AR
  • NPI 1750711743
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124179783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CARTNEY BLF",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726537746",
            "telephone_number": "870-424-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COUNTY ROAD 458",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538212",
            "telephone_number": "870-425-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "REBECCA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Bowgen
• Briana Bowman
• Hope Boyd, LPN
• Bradley Wayne Coleman,D.D.S.
• Lucas Bradley, MD
• Shanah Bradley
• Marcella Bobette Bramblett, APRN
• Garrett Branaman, PT, DPT
• Matthew D Brandon
• Kristin Brannon

• Speech-Language Pathologist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.