Active NPI
Zach Bradford
- Marriage & Family Therapist
- Bryan, TX
National Provider Identifier
1255043501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203833
- Practice address
- 2819 Cherry Creek Cir
Bryan, TX 77802-2927 - Phone
- (979) 492-8792
- NPI assigned
- Dec 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 84828 | TX | |
| Marriage & Family Therapist | 106H00000X | 203833 | TX | Primary |
Addresses
Primary practice location
2819 Cherry Creek Cir
Bryan, TX 77802-2927
Mailing address
2819 Cherry Creek Cir
Bryan, TX 77802-2927
Phone (979) 492-8792
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84828 | TX | MD | Professional Counselor |
| 203833 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1255043501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 CHERRY CREEK CIR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022927",
"telephone_number": "979-492-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 CHERRY CREEK CIR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022927",
"telephone_number": "979-492-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "ZACH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "84828",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.