Individual provider Active NPI

Bradley Lucich, C.P.

  • Prosthetist
  • Fresno, CA
National Provider Identifier
1770770752
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
295 W Cromwell Ave Ste 102
Fresno, CA 93711-6167
Phone
(559) 493-5020
NPI assigned
Oct 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Primary

Addresses

Primary practice location

295 W Cromwell Ave Ste 102
Fresno, CA 93711-6167

Mailing address

295 W Cromwell Ave Ste 102
Fresno, CA 93711-6167
Phone (559) 493-5020

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active 1 Prosthetics and Orthotics Prosthetist Current Accepting new patients

Locations

295 W Cromwell Ave
Ste 102
Fresno, CA 93711
Phone (559) 493-5020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1770770752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W CROMWELL AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116167",
            "telephone_number": "559-493-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W CROMWELL AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116167",
            "telephone_number": "559-493-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCICH",
        "first_name": "BRADLEY",
        "credential": "C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.