Individual provider Active NPI

Bradley Richard Biedermann, MMT, MT-BC

  • Music Therapist
  • Bala Cynwyd, PA
National Provider Identifier
1184117939
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
211 Fairview Ter
Bala Cynwyd, PA 19004-1810
Phone
(610) 617-3143
NPI assigned
Jun 7, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X Primary

Addresses

Primary practice location

211 Fairview Ter
Bala Cynwyd, PA 19004-1810

Mailing address

211 Fairview Ter
Bala Cynwyd, PA 19004-1810
Phone (610) 617-3143

Other identifiers 1

IdentifierTypeStateIssuer
1000058410002OtherPA DHS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1184117939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW TER",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041810",
            "telephone_number": "610-617-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW TER",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041810",
            "telephone_number": "610-617-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEDERMANN",
        "first_name": "BRADLEY",
        "middle_name": "RICHARD",
        "credential": "MMT, MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DHS PROVIDER NUMBER",
            "identifier": "1000058410002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.