Kelly Bradley, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

36664 Issued in CA

Practice address

815 1St St
Brentwood, CA 94513-1177

Phone

(925) 584-5920

NPI assigned

Jan 26, 2009

Sex

Female

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

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1528206752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 1ST ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131177",
            "telephone_number": "925-584-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 1ST ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131177",
            "telephone_number": "925-584-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Ray Bow
• Emily Bowes, PPSP
• Brittany Boyer
• BR Medivan Inc.
• Braden Partners LP
• Megan Maureen Bradley, MA
• Camhuyen T Brais-Nguyen, M.S.
• Makaela Brame
• Semaja Brandon
• Carolyn Breaud, LMFT

• Marriage & Family Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.