Organization Active NPI

Bradley-Reid Corporation

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1427113919
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BRADLEY-REID CORPORATION
Practice address
715 E 5TH St Ste 216
Charlotte, NC 28202-3001
Phone
(704) 333-5686
Fax
(704) 376-1931
NPI assigned
Dec 26, 2006
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mrs. Sandra Bradley Reid, M.H.A.NPI 1841613296
Title
Ceo Case Manager
Phone
(704) 333-5686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

715 E 5TH St Ste 216
Charlotte, NC 28202-3001

Mailing address

715 E 5TH St Ste 216
Charlotte, NC 28202-3001
Phone (704) 333-5686

Other identifiers 1

IdentifierTypeStateIssuer
8700417MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1427113919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E 5TH ST STE 216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023001",
            "telephone_number": "704-333-5686",
            "fax_number": "704-376-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 5TH ST STE 216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023001",
            "telephone_number": "704-333-5686",
            "fax_number": "704-376-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY-REID CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO CASE MANAGER",
        "authorized_official_telephone_number": "704-333-5686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.H.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700417",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.