Bradley W. Base, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1129 Issued in KS

Practice address

322 S Laura Ave
Wichita, KS 67211-1517

Phone

(316) 789-4193

NPI assigned

May 1, 2006

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cottonwood Enterprises

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1841090446
  NPD

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1710944905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S LAURA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111517",
            "telephone_number": "316-789-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S LAURA AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111517",
            "telephone_number": "316-789-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Main St",
            "address_purpose": "LOCATION",
            "city": "North Newton",
            "state": "KS",
            "postal_code": "671179002",
            "country_code": "US",
            "telephone_number": "316-992-9041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3106 Main St",
            "address_purpose": "LOCATION",
            "city": "Parsons",
            "state": "KS",
            "postal_code": "673572650",
            "country_code": "US",
            "telephone_number": "316-992-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASE",
        "first_name": "BRADLEY",
        "middle_name": "W.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Lynne Barton, O.D.
• Melissa A Barton
• Samantha Barton
• Sharon Barton, NP
• Sangjukta Barua
• Brenda Lynnette Basgall, RN
• Punam Bashal, LPC
• Tiffany Basham, RN
• Rajeeva K Bashyakarla, M.D.
• Ajiel Mae Fabula Basmayor, MD

• Clinical Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.