Bradley Douglas Powell, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32062 Issued in TX

Practice address

2400 Broadmoor Dr Ste C
Bryan, TX 77802-2870

Phone

(979) 774-9255

Fax

(970) 774-9299

NPI assigned

Mar 6, 2007

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Consultants of the Brazos Valley PA

  • Psychologist
  • Bryan, TX
  • NPI 1306819511
  Medicare reassignment NPD Authorized official
• Nancy Leslie PHD & Associates in Medical Psychology, PC

  • Clinical Neuropsychologist
  • Bryan, TX
  • NPI 1891703583
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699805929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BROADMOOR DR STE C",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022870",
            "telephone_number": "979-774-9255",
            "fax_number": "970-774-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BROADMOOR DR STE C",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022870",
            "telephone_number": "979-774-9255",
            "fax_number": "970-774-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BRADLEY",
        "middle_name": "DOUGLAS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Janda Potts, RPH
• Brandon U Pounds, DC
• Nima M Pourrajabi, DO
• Alison E Pourteau, LPC-S
• James C Pourteau, LPC
• Carla Araceli Powell, M.S., CCC-SLP
• Jean Powell, L.P.C.
• Gordon Pratt Jr., DDS
• Premise Health of Texas Medical, P.a
• Bette Jean Prenoveau, LCSW

• Psychologist in Bryan, TX
• Providers in Bryan, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.