Active NPI
Bradford Haney Owen, LPA
- Psychologist
- Asheville, NC
National Provider Identifier
1831204064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1376
- Practice address
- 257 Biltmore Ave
Asheville, NC 28801-4158 - Phone
- (828) 258-2597
- Fax
- (828) 285-9679
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1376 | NC | Primary |
Addresses
Primary practice location
257 Biltmore Ave
Asheville, NC 28801-4158
Mailing address
800 Fleming St
Hendersonville, NC 28791-3528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046FR | Other | NC | NVML BCBS GRP # 015HF |
| 6107039 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831204064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FLEMING ST",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913528",
"fax_number": "828-693-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014158",
"telephone_number": "828-258-2597",
"fax_number": "828-285-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "BRADFORD",
"middle_name": "HANEY",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVML BCBS GRP # 015HF",
"identifier": "046FR",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107039",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.