Active NPI
Graciela Bradwell
- Speech-Language Assistant
- Harlingen, TX
National Provider Identifier
1427326404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 34430
- Practice address
- 27043 Baker Potts Rd
Harlingen, TX 78552-3761 - Phone
- (956) 792-4542
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 34430 | TX | Primary |
Addresses
Primary practice location
27043 Baker Potts Rd
Harlingen, TX 78552-3761
Mailing address
27043 Baker Potts Rd
Harlingen, TX 78552-3761
Phone (956) 792-4542
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218312101 | Medicaid | TX | |
| 218312102 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34430 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradwell Diversified | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kids Club Pediatric Rehab
- Rehabilitation Clinic/Center
- Harlingen, TX
- NPI 1154767911
-
dba Helping Hands Provider Services
- Home Health Agency
- Harlingen, TX
- NPI 1255842316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1427326404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27043 BAKER POTTS RD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523761",
"telephone_number": "956-792-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27043 BAKER POTTS RD",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785523761",
"telephone_number": "956-792-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADWELL",
"first_name": "GRACIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "34430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218312101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218312102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
- Eva Bower-Lopez, LVN
- Cory Boyd, LPC
- Kathleen A Brace Gaul, DPM
- Bradwell Diversified (Kids Club Pediatric Rehab)
- Bradwell Diversified Inc. (Helping Hands Provider Services)
- Brajesh Bhatla MD PA
- Bright Babies LLC (New Life Birth & Wellness Center)
- Abelardo Briones, RN
- Adriana Briones, RN
- Juan Manuel Briones, PA C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.