Thomas Edward Bradley Jr., CPRC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

12010 Linwood St
Detroit, MI 48206-1108

Phone

(313) 867-1090

NPI assigned

Mar 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1225599459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 LINWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061108",
            "telephone_number": "313-867-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 LINWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061108",
            "telephone_number": "313-867-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "CPRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Virginia Bradley, MD
• Mitchell R Bradley, CRNA
• Nitrice Bradley, LMT
• Patrick Bradley, MD
• Stephen Jerome Bradley, M.D.
• Ann Marie Brady, LMSW
• Erin J Brady, CRNA
• Kathleen Ann Brady, NP
• Kathy Denise Brady
• Kimberly Bragg

• Behavior Analyst in Detroit, MI
• Providers in Detroit, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.