Active NPI
Bradford M Tepper, M.D.
- Child & Adolescent Psychiatry Physician
- Garden City, NY
National Provider Identifier
1164560736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 180981
- Practice address
- 233 7TH St
Suite # 200
Garden City, NY 11530-5747 - Phone
- (516) 746-4810
- Fax
- (516) 877-7275
- NPI assigned
- Feb 3, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 180981 | NY | Primary |
Addresses
Primary practice location
233 7TH St
Suite # 200
Garden City, NY 11530-5747
Mailing address
233 7TH St
Suite # 200
Garden City, NY 11530-5747
Phone (516) 746-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 20, 2025 through Nov 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180981 | NY | MD | Child & Adolescent Psychiatry Physician |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164560736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 7TH ST",
"address_2": "SUITE # 200",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305747",
"telephone_number": "516-746-4810",
"fax_number": "516-877-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 7TH ST",
"address_2": "SUITE # 200",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115305747",
"telephone_number": "516-746-4810",
"fax_number": "516-877-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPPER",
"first_name": "BRADFORD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "180981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.