Crystal Lynn Bradford

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

21770 FDR Blvd.
Lexington Park, MD 20653

Phone

(301) 997-1300

Fax

(301) 866-9182

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1366080533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WILLIAMS RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783541",
            "telephone_number": "443-684-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21770 FDR BLVD.",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "20653",
            "telephone_number": "301-997-1300",
            "fax_number": "301-866-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Blazel, ANP-C
• Gabrielle Bollino
• Samone Bond
• Bowes and Associates Psychotherapy, LLC
• Jody Lynn Boyers, LCSW-C
• Thomas J Brien, MS
• Pamela Briscoe
• Cheryl Susan Budd, D.M.D.
• Ngoc Kim Bui, RPH
• Larren Marica Burgess

• Addiction (Substance Use Disorder) Counselor in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.