Brian M Bradigan, LCASA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3042A Issued in NC

Practice address

631 Brawley School Rd
Ste 200B, Pmb301
Mooresville, NC 28117-6204

Phone

(704) 884-2060

Fax

(704) 854-4860

NPI assigned

Jan 14, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1285971069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-476-4106",
            "fax_number": "704-845-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BRAWLEY SCHOOL RD",
            "address_2": "STE 200B, PMB301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176204",
            "telephone_number": "704-884-2060",
            "fax_number": "704-854-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADIGAN",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "LCASA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3042A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstyn Bowman
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• Renee Boyer, PHARMD
• Patrice Boykin
• Brian Joseph Boyle, PT,DPT
• Christopher Bradley, PA-C
• Steven H Bradley, MD
• Christopher Brady, PHARM.D.
• Nicole Brady
• Kristen Phillips Bragg, M.S., CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.