Bradly's Houses, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRADLY'S HOUSES, LLC

Practice address

540 Main St Ste 112
Delta, CO 81416-1834

Phone

(970) 361-7808

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Gordon

Title

Owner

Phone

(970) 361-7808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1639931199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MAIN ST STE 112",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161834",
            "telephone_number": "970-361-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MAIN ST STE 112",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161834",
            "telephone_number": "970-361-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLY'S HOUSES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-361-7808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Blair, LPC, MFTC
• Emily Blood, PA-C
• Hallie Simone Blunck, MD
• Debbie Kaye Bobst, REGISTERED NURSE
• Matthew W Bowen, LMFT
• Susan Elaine Bright, MD
• Kimberley W Brighton, CRNA
• Patrick A Brighton, MD
• Amanda Erin Bristol Swanson, M.D.
• Holly Anne Brooks, LCSW

• Community/Behavioral Health Agency in Delta, CO
• Providers in Delta, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.