Bradford L Boubel, OTR, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

000225 Issued in TX

Practice address

17510 West Grand Parkway South
100
Sugar Land, TX 77479

Phone

(281) 725-5895

Fax

(281) 725-5898

NPI assigned

May 15, 2007

Sex

Male

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

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376759480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 MAYBERRY CIR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793837",
            "telephone_number": "281-343-7104",
            "fax_number": "281-725-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 WEST GRAND PARKWAY SOUTH",
            "address_2": "100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-725-5895",
            "fax_number": "281-725-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUBEL",
        "first_name": "BRADFORD",
        "middle_name": "L",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "000225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Christine Boothby, CNIM
• Robert Paul Borda, PH.D.
• Kyle Borque, M.D.
• Pamela Helen Bosse, PHARMD
• Amberly Bossert
• Keith Boudreaux
• Laura Rhea Boudreaux, MPH, RD, LD
• Kathleen Bowerson, LPC
• Marci Lynn Bowman, APRN, FNP-C
• Teresa Kathleen Bowman, MSN, WHNP-BC

• Hand Occupational Therapist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Hand Occupational Therapist in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.