Active NPI
Bradley-Reid Corporation
- Case Management Agency
- Charlotte, NC
National Provider Identifier
1427113919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700417 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- School Social Worker
- Charlotte, NC
- NPI 1841613296
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.