Active NPI
Alan Emmett Bradley Jr., LADC
- Counselor
- Norwalk, CT
National Provider Identifier
1356550701
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 000523
- Practice address
- 9 Fair St
Norwalk, CT 06851-4509 - Phone
- (203) 840-1483
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000523 | CT | Primary |
Addresses
Primary practice location
9 Fair St
Norwalk, CT 06851-4509
Mailing address
9 Fair St
Norwalk, CT 06851-4509
Phone (203) 840-1483
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000523 | CT | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356550701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FAIR ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514509",
"telephone_number": "203-840-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FAIR ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514509",
"telephone_number": "203-840-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ALAN",
"middle_name": "EMMETT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "000523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.