NPIMap

Organization Active NPI

Christopher C. Bradley MD PHD, a Professional Corporation

  • Exclusive Provider Organization
  • La Mesa, CA
National Provider Identifier
1306022686
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
A83249 Issued in CA
Legal business name
CHRISTOPHER C. BRADLEY MD PHD, A PROFESSIONAL CORPORATION
Practice address
5565 Grossmont Center Dr
BLDG 3 Suite 357
La Mesa, CA 91942-3020
Phone
(619) 462-0264
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Christopher Bradley, MD, PHDNPI 1164580098
Title
Owner/Neurologist
Phone
(858) 205-2488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A83249 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr
BLDG 3 Suite 357
La Mesa, CA 91942-3020

Mailing address

7918 El Cajon Blvd # 312
La Mesa, CA 91941-3710
Phone (619) 462-0264

National Provider Directory

National Provider Directory

Locations

7918 El Cajon Blvd
#312
La Mesa, CA 91942

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1306022686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD # 312",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413710",
            "telephone_number": "619-462-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3 SUITE 357",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-462-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER C. BRADLEY MD PHD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/NEUROLOGIST",
        "authorized_official_telephone_number": "858-205-2488",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A83249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.