Individual provider Active NPI

Vincent Robert Bradley, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1326565649
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13271 Issued in AZ
Practice address
5111 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-7076
Phone
(480) 990-1379
NPI assigned
Aug 28, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180306002669 AZ Practitioner - Physical Therapist in Private Practice 2062773146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13271AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations (25 of 42)

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 548-0228

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451

2400 W Dunlap Ave
Ste 145
Phoenix, AZ 85021
Phone (602) 870-1414

14001 N 7th St
Ste A102
Phoenix, AZ 85022
Phone (602) 548-5445

4232 E Chandler Blvd
Ste 24
Phoenix, AZ 85048
Phone (602) 362-3701

1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885

2942 N 7th Ave
Ste A101
Phoenix, AZ 85013
Phone (602) 277-0084

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13271 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

5111 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-7076

Mailing address

957 W Plata Ave
Mesa, AZ 85210-8248
Phone (602) 509-0810

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2017.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1326565649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 W PLATA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108248",
            "telephone_number": "602-509-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507076",
            "telephone_number": "480-990-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "VINCENT",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.