NPIMap

Organization Active NPI

Bradwell Diversified

  • Rehabilitation Clinic/Center
  • Harlingen, TX
National Provider Identifier
1154767911
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BRADWELL DIVERSIFIED
Practice address
27043 Baker Potts Rd
Harlingen, TX 78552-3761
Phone
(956) 792-4542
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mrs. Graciela A Bradwell, SLP ASSISTANTNPI 1427326404
Title
Administrator
Phone
(956) 792-4542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

27043 Baker Potts Rd
Harlingen, TX 78552-3761

Mailing address

27043 Baker Potts Rd
Harlingen, TX 78552-3761
Phone (956) 792-4542

Other names 1

  • Kids Club Pediatric Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradwell Diversified Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1154767911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27043 BAKER POTTS RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523761",
            "telephone_number": "956-792-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27043 BAKER POTTS RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523761",
            "telephone_number": "956-792-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADWELL DIVERSIFIED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "BRADWELL",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-792-4542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Club Pediatric Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.