Active NPI
Alberta Bradley, CERT. HAIR LOSS SPEC
- Prosthetics Case Management
- Allen, TX
National Provider Identifier
1801314943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 904 W. McDermott Dr.
Ste 300, Room 311
Allen, TX 75013 - Phone
- (972) 467-3485
- NPI assigned
- Sep 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | TX | Primary |
Addresses
Primary practice location
904 W. McDermott Dr.
Ste 300, Room 311
Allen, TX 75013
Mailing address
906 W. McDermott Road
Suite 116, Box 148
Allen, TX 75013
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504828800000",
"number": "1801314943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W. MCDERMOTT ROAD",
"address_2": "SUITE 116, BOX 148",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 W. MCDERMOTT DR.",
"address_2": "STE 300, ROOM 311",
"city": "ALLEN",
"state": "TX",
"postal_code": "75013",
"telephone_number": "972-467-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ALBERTA",
"credential": "CERT. HAIR LOSS SPEC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2017-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.