Bradley School District #61

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BRADLEY SCHOOL DISTRICT #61

Practice address

200 West State Street
Bradley, IL 60915

Phone

(815) 933-3371

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By 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

Mr. Scott Goselin

Title

Superintendent

Phone

(815) 933-3371

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah P Balke, SLPA

  • Speech-Language Assistant
  • Bradley, IL
  • NPI 1932017647
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649482407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST STATE STREET",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "60915",
            "telephone_number": "815-933-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST STATE STREET",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "60915",
            "telephone_number": "815-933-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY SCHOOL DISTRICT #61",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSELIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "815-933-3371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elna Bovan
• Carl Edward Boyens, LCPC
• Sophia Boyer
• Bradley Bourbonnais School Distrist 307
• Bradley Royale, Inc.
• Gerard Breuker, PT, DPT
• Kelly Marie Bufford, PT ATC
• Laura H Burkhalter
• Quincy Lee Campbell
• Denise Lynn Cannon, LMT

• Local Education Agency (LEA) in Bradley, IL
• Providers in Bradley, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.