Angela C Bradford, PHD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP000243 Issued in DC

Practice address

5219 Kenstan Dr
Temple Hills, MD 20748-5424

Phone

(301) 254-6623

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Angela Bradford Wainwright Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1366228041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 KENSTAN DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485424",
            "telephone_number": "301-254-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 KENSTAN DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207485424",
            "telephone_number": "301-254-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ANGELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004486",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06214",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DR. ANGELA",
            "last_name": "BRADFORD WAINWRIGHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reginald Matthew Biggs, M.D.
• Bio-Medical Applications of Maryland, Inc. (QCDC Southern Maryland)
• Evelyn Blackwell
• Blossom Doulas DMV
• Paige Blunt
• Charlene L. Braswell, RN
• Bridging the Gap Services LLC
• Brightside Senior Living, LLC (Brightside Healthcare Services, LLC)
• Brightway Professionals and Associates
• Brightway Professionals and Associates

• Speech-Language Pathologist in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.