Kimberly Annette Bradley, BSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10844 Vicenza Dr NW
Albuquerque, NM 87114-5279

Phone

(505) 249-5398

Fax

(505) 271-4957

NPI assigned

Aug 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1922407337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10844 VICENZA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145279",
            "telephone_number": "505-249-5398",
            "fax_number": "505-271-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 VICENZA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145279",
            "telephone_number": "505-249-5398",
            "fax_number": "505-271-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bradford, PT
• Rachel Nicole Bradford
• Gail Marie Bradley, D.C.
• Joan Bradley, REGISTERED NURSE
• Joy De Leon Bradley
• Nicole Genevieve Bradley, MA
• Vernon Christian Bradley, LMT
• Zariah Bradley
• Heather Brads, RD, LD, CNSC
• Celina Bradshaw, LCSW

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.