Active NPI
Bradley Scott Wells, DPT
- Military Health Care Provider
- Pensacola, FL
National Provider Identifier
1891134581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 6374
- Practice address
- 6000 US-98
Pensacola, FL 32512-1098 - Phone
- (850) 505-6601
- NPI assigned
- Jun 17, 2013
- Last updated
- Apr 22, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 6374 | SC | Primary |
Addresses
Primary practice location
6000 US-98
Pensacola, FL 32512-1098
Mailing address
9539 Lorikeet LN
Pensacola, FL 32507-7229
Phone (912) 484-0807
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 |
|---|---|---|---|
| 6374 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1891134581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9539 LORIKEET LN",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325077229",
"telephone_number": "912-484-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 US-98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325121098",
"telephone_number": "850-505-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "SC",
"license": "6374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.