Individual provider Active NPI

Richard Neville Bradley, M.D.

  • Aerospace Medicine Physician
  • Austin, TX
National Provider Identifier
1740210350
Registry record updated Nov 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
K3688 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
117751103MedicaidTX
82488FOtherTXBCBS
117751104OtherTXCSHCN

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

LicenseStateTypeSpecialty
K3688TXMDEmergency Medicine Physician
K3688CAMDAerospace 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.

Verify at the official NPI Registry.