Bonnie R Braddock, M.P.H.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

750 E Adams St
Room 5622B
Syracuse, NY 13210-2306

Phone

(315) 464-7610

Fax

(315) 464-6329

NPI assigned

Sep 15, 2006

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

Interoperability endpoints

• Direct secure messaging: bbraddock6012@direct.upstate.edu

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942306337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 PEMBROKE DR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042115",
            "telephone_number": "315-682-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "ROOM 5622B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-7610",
            "fax_number": "315-464-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "BONNIE",
        "middle_name": "R",
        "credential": "M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigid A Boyle
• Megan Boyle
• Carly Boyles
• Elizabeth May Brabant
• Lourdes Faride Brache-Tabar, LMHC
• Adam Russell Bradford, DO
• Cassandra Bradford
• Jason A Bradford
• Matthew Bradford
• Bradley Counseling Services LMSW PC

• Genetic Counselor (M.S.) in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Genetic Counselor (M.S.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.