Active NPI
Cole Russell Bradley, B.A.
- Social Worker
- Saint Louis, MO
National Provider Identifier
1649440892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1430 Olive St
Saint Louis, MO 63103-2303 - Phone
- (314) 206-3726
- Fax
- (314) 206-3751
- NPI assigned
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1430 Olive St
Saint Louis, MO 63103-2303
Mailing address
1430 Olive St
Saint Louis, MO 63103-2303
Phone (314) 206-3726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1649440892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3726",
"fax_number": "314-206-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 OLIVE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032303",
"telephone_number": "314-206-3726",
"fax_number": "314-206-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "COLE",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-04",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.