Michelle Bradberry, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A352 Issued in AR

Practice address

2835 College Ave
Conway, AR 72034-6144

Phone

(501) 329-7979

NPI assigned

Jan 12, 2012

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

Other names 1

• Dr. Michelle L Richardson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1154691780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD",
            "address_2": "SUITE A7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124191",
            "telephone_number": "501-225-6060",
            "fax_number": "501-225-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346144",
            "telephone_number": "501-329-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBERRY",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RICHARDSON",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn S Boyd, APN
• Laura M Boyd, MS, LAT, ATC
• Erin Boydston, LPC
• Ronald Franklin Boyles, O D
• Brad Hays LPC LLC
• Savannah Bradbury, PA-C
• Michelle Bradford, CMP
• Brenna Christine Bradley, BCBA
• Jessica Bradley, RD
• Laura Ann Bradley

• Audiologist in Conway, AR
• Providers in Conway, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.