Individual provider Active NPI

Bradley Bahls, OD

  • Optometrist
  • Columbia, SC
National Provider Identifier
1407768260
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.2632 Issued in SC
Practice address
2313 N Beltline Blvd
Columbia, SC 29204-3416
Phone
(803) 403-2597
Fax
(803) 788-6954
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.2632 SC Primary

Addresses

Primary practice location

2313 N Beltline Blvd
Columbia, SC 29204-3416

Mailing address

2313 N Beltline Blvd
Columbia, SC 29204-3416
Phone (803) 403-2597

Other practice location 1

275 Harbison Blvd Ste T
Columbia, SC 29212-2222
Phone (803) 575-0015

Other practice location 2

205 Columbia Ave
Lexington, SC 29072-2662
Phone (803) 756-3265

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

State licenses

LicenseStateTypeSpecialty
OPT.2632SCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1407768260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 N BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043416",
            "telephone_number": "803-403-2597",
            "fax_number": "803-788-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 N BELTLINE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043416",
            "telephone_number": "803-403-2597",
            "fax_number": "803-788-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Harbison Blvd Ste T",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292122222",
            "country_code": "US",
            "telephone_number": "803-575-0015",
            "fax_number": "803-781-5186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722662",
            "country_code": "US",
            "telephone_number": "803-756-3265",
            "fax_number": "803-957-9675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHLS",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.