Individual provider Active NPI

Brett Joseph Radford-Proctor

  • Social Worker
  • Endicott, NY
National Provider Identifier
1659228344
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125331 Issued in NY
Practice address
515 E Main St
Endicott, NY 13760-5023
Phone
(607) 444-3318
Fax
(607) 444-3319
NPI assigned
Mar 12, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125331 NY Primary

Addresses

Primary practice location

515 E Main St
Endicott, NY 13760-5023

Mailing address

515 E Main St
Endicott, NY 13760-5023
Phone (607) 444-3318

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

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1659228344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605023",
            "telephone_number": "607-444-3318",
            "fax_number": "607-444-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605023",
            "telephone_number": "607-444-3318",
            "fax_number": "607-444-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD-PROCTOR",
        "first_name": "BRETT",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "125331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.