Active NPI
Richard Neville Bradley, M.D.
- Aerospace Medicine Physician
- Austin, TX
National Provider Identifier
1740210350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- K3688
- Practice address
- 313 E Anderson LN
Austin, TX 78752-1236 - Phone
- (346) 205-4230
- Fax
- (512) 424-7160
- NPI assigned
- Jul 3, 2006
- Last updated
- Nov 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | K3688 | TX | |
| Emergency Medicine Physician | 207P00000X | K3688 | TX | |
| Aerospace Medicine Physician | 2083A0100X | K3688 | CA | Primary |
Addresses
Primary practice location
313 E Anderson LN
Austin, TX 78752-1236
Mailing address
313 E Anderson LN
Austin, TX 78752-1236
Phone (346) 205-4230
Other practice location 1
10601 Bear Hollow Dr
Gold River, CA 95670-6350
Phone (916) 854-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117751103 | Medicaid | TX | |
| 82488F | Other | TX | BCBS |
| 117751104 | Other | TX | CSHCN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3688 | TX | MD | Emergency Medicine Physician |
| K3688 | CA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764460800000",
"number": "1740210350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 E ANDERSON LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521236",
"telephone_number": "346-205-4230",
"fax_number": "512-424-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E ANDERSON LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521236",
"telephone_number": "346-205-4230",
"fax_number": "512-424-7160"
}
],
"practiceLocations": [
{
"address_1": "10601 Bear Hollow Dr",
"address_purpose": "LOCATION",
"city": "Gold River",
"state": "CA",
"postal_code": "956706350",
"country_code": "US",
"telephone_number": "916-854-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "RICHARD",
"middle_name": "NEVILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2025-11-30",
"certification_date": "2025-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "K3688",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K3688",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "CA",
"license": "K3688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117751103",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82488F",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "117751104",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.