Peter Douglas Bradley, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13501 Issued in TX

Practice address

2904 Corporate Cir
Suite 129
Flower Mound, TX 75028-2292

Phone

(469) 635-7540

NPI assigned

May 30, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cross Timbers Family Therapy, PLLC

  • Marriage & Family Therapist
  • Flower Mound, TX
  • NPI 1578679064

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851592315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 CORPORATE CIR",
            "address_2": "SUITE 129",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282292",
            "telephone_number": "469-635-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 CORPORATE CIR",
            "address_2": "SUITE 129",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282292",
            "telephone_number": "469-635-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "PETER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13501",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "42622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Boyle, M.D.
• Jeremiah C. Brack, PA-C
• Bradley Axline MD Obstetrics and Gynecology , PA
• Bradley Axline Obstetrics and Gynecology, PA
• Arthur Boyd Bradley Jr., D.C.
• Brady G Giesler MD PA
• Braincare, LLC (Global Neuro-Diagnostics)
• Braindocs
• Andrea Michelle Brandenburgh, PT, DPT
• Mackenzie Ann Brasher, LMFT, LPC, LCDC

• Professional Counselor in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.