Joshua Bradley, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

528 Highway 180 W
Silver City, NM 88061-4400

Phone

(575) 534-1747

Fax

(575) 534-1748

NPI assigned

Jun 27, 2006

Last updated

Oct 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincare Inc

  dba J & L Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Waterford, CT
  • NPI 1104701606
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446249600000",
    "number": "1225065055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 HIGHWAY 180 W",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 HIGHWAY 180 W",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614400",
            "telephone_number": "575-534-1747",
            "fax_number": "575-534-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATABOC",
            "identifier": "050502025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Boone
• Border Area Mental Health Services, Inc
• Henry M Borra, M.D.
• Daja Vu Bowers, CSW
• Marsha L Bowman, LPCC CLINICAL MENTAL
• Amber Brandt, CPSW
• Jason Allen Bratcher, O.D.
• Jennifer Brickey, COTA/L
• Isabella C Brown
• Melanie K. Brown, B.S.

• Athletic Trainer in Silver City, NM
• Providers in Silver City, NM by specialty
• Athletic Trainer in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; 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.