Active NPI
Cole Bradburn
- Behavior Analyst
- Winston Salem, NC
National Provider Identifier
1477421378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-84154
- Practice address
- 1405 S Broad St
Winston Salem, NC 27127-2068 - Phone
- (855) 772-8847
- NPI assigned
- Oct 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-84154 | Primary |
Addresses
Primary practice location
1405 S Broad St
Winston Salem, NC 27127-2068
Mailing address
2485 Spring Grove Dr Apt 303
Winston Salem, NC 27103-7066
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1477421378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 SPRING GROVE DR APT 303",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S BROAD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272068",
"telephone_number": "855-772-8847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADBURN",
"first_name": "COLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-23",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-25-84154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.