Vernon Christian Bradley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT9362 Issued in NM

Practice address

4401 Cutler Ave NE
Albuquerque, NM 87110-3978

Phone

(505) 620-6332

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By the provider in NPPES

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

Electronic endpoints 1

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1508588625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 CUTLER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103978",
            "telephone_number": "505-620-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CUTLER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103978",
            "telephone_number": "505-620-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "VERNON",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT9362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "MassageTherapy",
            "affiliation": "N",
            "endpointDescription": "MassageTherapy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4401 Cutler Ave NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871103978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gail Marie Bradley, D.C.
• Joan Bradley, REGISTERED NURSE
• Joy De Leon Bradley
• Kimberly Annette Bradley, BSW
• Nicole Genevieve Bradley, MA
• Zariah Bradley
• Heather Brads, RD, LD, CNSC
• Celina Bradshaw, LCSW
• Joshua P. Bradshaw
• Peggy Bradshaw, DC

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.