Active NPI
Bradley Allen West
- Pastoral Counselor
- Fort Bragg, NC
National Provider Identifier
1184832883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- Watters Center for Family Life
1-3358 Knox Street
Fort Bragg, NC 28310-5000 - Phone
- (910) 396-6564
- NPI assigned
- May 18, 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
Watters Center for Family Life
1-3358 Knox Street
Fort Bragg, NC 28310-5000
Mailing address
885 Fredonia Dr
Fayetteville, NC 28311-9333
Phone (910) 485-3765
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": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184832883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 FREDONIA DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119333",
"telephone_number": "910-485-3765",
"fax_number": "910-396-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WATTERS CENTER FOR FAMILY LIFE",
"address_2": "1-3358 KNOX STREET",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283105000",
"telephone_number": "910-396-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "BRADLEY",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.