Organization Active NPI

Dr Brad S Kauder LLC

  • Clinical Neuropsychologist
  • Ashland, OR
National Provider Identifier
1437201878
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1537 Issued in OR
Legal business name
DR BRAD S KAUDER LLC
Practice address
739 N Main St
Ashland, OR 97520-1752
Phone
(541) 488-8988
Fax
(541) 488-7977
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Dr. Bradley Scott Kauder, PSY.D.NPI 1336291707
Title
Owner
Phone
(541) 488-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 1537 OR Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 1537 OR

Addresses

Primary practice location

739 N Main St
Ashland, OR 97520-1752

Mailing address

PO Box 873
Ashland, OR 97520-0030
Phone (541) 488-8988

Other identifiers 1

IdentifierTypeStateIssuer
182024MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408001541 OR Part B Supplier - Clinic/Group Practice 1153315544 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, OR

National Provider Directory

National Provider Directory

Locations

739 N Main St
Ashland, OR 97520
Phone (541) 488-8988

320 E Main St
Ste 201
Ashland, OR 97520
Phone (541) 821-1083

1875 Highway 99 N
Ste 7
Ashland, OR 97520
Phone (541) 488-8988

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1437201878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975200030",
            "telephone_number": "541-488-8988",
            "fax_number": "541-488-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201752",
            "telephone_number": "541-488-8988",
            "fax_number": "541-488-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRAD S KAUDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "KAUDER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-488-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1537",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182024",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.