Bradley Kent Fairchild, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12930 Issued in TX

Practice address

1200 E Collins Blvd
Suite 300
Richardson, TX 75081-2457

Phone

(972) 669-1733

NPI assigned

Oct 25, 2007

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Hope Speaks, PLLC

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1326428368
  NPD (past)
• Minirth Clinic PA

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1205962727
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1407035561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STONEGATE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104132",
            "telephone_number": "972-978-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "address_2": "SUITE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812457",
            "telephone_number": "972-669-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "BRADLEY",
        "middle_name": "KENT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Ezegrim, PMHNP-BC
• Kalavalli Ezekiel, MD
• Precious Amarachi Ezeoma
• Andreane Boudreault Fagala, O.D.
• Justine Faghihifar, OTR
• Ali Allen Faiz, D.D.S.
• Leigh Ann Falls, PHD LPCS RPTS NCC
• Folake Familusi, MD
• Family Care USA, PLLC
• Family Ferry Express Non-Emergency Transport LLC

• Professional Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.