Bradley Ray Burch, ATP

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

12402 Slide Rd Ste 408
Lubbock, TX 79424-8322

Phone

(806) 589-0817

NPI assigned

May 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1669229738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 SLIDE RD STE 408",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248322",
            "telephone_number": "806-589-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12402 SLIDE RD STE 408",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248322",
            "telephone_number": "806-589-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "BRADLEY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Bullard
• Ryan Bullard
• Brandi Jill Bulls, PA
• Adam Edward Bunker, D.M.D
• Bailee Elaine Bunnell
• Marci Elizabeth Burchfield, APRN-CNP
• James Burke, MD
• Jeremy James Burke, DDS
• Joanna Louise Burke, MD
• Karen Burke, FNP-C

• Other Technician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.