Individual provider Active NPI

Bradley M. Gilbert, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1629346705
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 95079 Issued in CA
Practice address
3433 American River Dr Ste a
Sacramento, CA 95864-5742
Phone
(916) 616-5227
NPI assigned
Dec 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT 95079 CA Primary

Addresses

Primary practice location

3433 American River Dr Ste a
Sacramento, CA 95864-5742

Mailing address

3433 American River Dr Ste a
Sacramento, CA 95864-5742
Phone (916) 616-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95079CAMDSocial Worker
LMFT 95079CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1629346705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AMERICAN RIVER DR STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645742",
            "telephone_number": "916-616-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AMERICAN RIVER DR STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645742",
            "telephone_number": "916-616-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "BRADLEY",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-05",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 95079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.