Bradford Smith, CADC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10R066 Issued in IA

Practice address

799 Main St
Ste 110
Dubuque, IA 52001-6844

Phone

(563) 582-3784

Fax

(563) 582-4006

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1629044623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 MAIN ST",
            "address_2": "STE 110",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016844",
            "telephone_number": "563-582-3784",
            "fax_number": "563-582-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 MAIN ST",
            "address_2": "STE 110",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016844",
            "telephone_number": "563-582-3784",
            "fax_number": "563-582-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADFORD",
        "credential": "CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11462",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "10R066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39165200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel D Slagel, M.D.
• Todd Eric Sleep, MD
• SM Counseling
• Tara Lynn Smith-Prybil, M.S.ED., LMHC, LCPC
• Abbey Jean Smith, ARNP
• Courtney Smith
• Courtney Daelle Smith, O.D.
• Crystal Ann Smith, PHARMD
• David Shane Smith
• Jessica Purcell Smith, PHARMD MPH

• Addiction (Substance Use Disorder) Counselor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.