Active NPI
Bradford Wilfredo Unroe, MD
- Student in an Organized Health Care Education/Training Program
- Austin, TX
National Provider Identifier
1194258475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3501 Mills Ave
Austin, TX 78731-6309 - Phone
- (512) 324-2000
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3501 Mills Ave
Austin, TX 78731-6309
Mailing address
3501 Mills Ave
Austin, TX 78731-6309
Other practice location 1
500 S Preston St
Room 305
Louisville, KY 40202-1702
Phone (502) 852-8696
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1194258475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309",
"telephone_number": "512-324-2000"
}
],
"practiceLocations": [
{
"address_1": "500 S Preston St",
"address_2": "Room 305",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021702",
"country_code": "US",
"telephone_number": "502-852-8696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNROE",
"first_name": "BRADFORD",
"middle_name": "WILFREDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- University of Texas University Health Services
- University of Texas Universtiy Health Services
- University Spine & Sports Medicine Inc
- Unmuck LLC
- Athira Unnikrishnan, MD
- Todd Unruh
- Unscripted Counseling & Consulting, PLLC
- Peter Untalan, M.D.
- Untangled Counseling & Therapy
- Gregg Russell Unterberger, M.ED., LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.