Active NPI
Woodrow Eric Bradley
- Day Training/Habilitation Specialist
- Greensboro, NC
National Provider Identifier
1821576299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 1403 Woocbriar Ave
Greensboro, NC 27405 - Phone
- (336) 587-3440
- NPI assigned
- Jul 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
1403 Woocbriar Ave
Greensboro, NC 27405
Mailing address
1403 Woocbriar Ave
Greensboro, NC 27405
Phone (336) 587-3440
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care III , LLC | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1023595550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1821576299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 WOOCBRIAR AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-587-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 WOOCBRIAR AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27405",
"telephone_number": "336-587-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "WOODROW",
"middle_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.