Bradford Wong, PT, MPA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT17401 Issued in CA

Practice address

35 Alegre CT
Danville, CA 94526-4909

Phone

(925) 552-0268

NPI assigned

Dec 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1487365938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ALEGRE CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264909",
            "telephone_number": "925-552-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ALEGRE CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264909",
            "telephone_number": "925-552-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BRADFORD",
        "name_prefix": "Mr.",
        "credential": "PT, MPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT17401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Williams
• Karen E Winter, PSYD
• Kimberley Wiseman
• Anna Nicole Wolfson
• Annie Louie Wong, D.D.S.
• Joshua Wong, D.D.S
• Juliana C Wong, M.D.
• Lisa Amanda Wong, OD
• Stacie Anne Wong, PT, DPT
• Juliet L Wouden, D.D.S.

• Physical Therapy Clinic/Center in Danville, CA
• Providers in Danville, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.