Lindell Bradley, M.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2345 E Prater Way Ste 102
Sparks, NV 89434-9664

Phone

(775) 825-2777

Fax

(775) 825-6090

NPI assigned

Mar 28, 2007

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

Other names 1

• Dr. Lindell Bradley Professional name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780703371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20328",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895150328",
            "telephone_number": "775-825-2777",
            "fax_number": "775-285-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349664",
            "telephone_number": "775-825-2777",
            "fax_number": "775-825-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LINDELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDELL",
            "last_name": "BRADLEY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jess Lagrand Bowers, DPT
• Veralynn Ann Boyack
• Natalie Barrett Boyle
• Tandis Boynton
• Bianca Boyt, RN
• Denise M Bradshaw, PACT
• Katrina Mae Braganza, OD
• Kalysta Branco
• Robert Brandenburg, LCSW
• Stefanie Lee Brannan, MS CCC SLP

• Mental Health Counselor in Sparks, NV
• Providers in Sparks, NV by specialty
• Mental Health Counselor in Nevada

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.