Larry Edwin Bradley, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H6067 Issued in TX

Practice address

7016 Riverport Rd
Fort Worth, TX 76116-9311

Phone

(817) 738-4288

NPI assigned

Oct 6, 2010

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1962711036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 RIVERPORT RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169311",
            "telephone_number": "817-738-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 RIVERPORT RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169311",
            "telephone_number": "817-738-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LARRY",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H6067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Simon Braden, LCSW, LMFT
• Dora Linda Bradford, RNC,BSN,WHNP
• Laura Ann Bradford, M.D.
• Emily Bradley, LPC
• India Adell Bradley, LCSW
• Michael Jack Bradley
• Taylor Rentz Bradley, D.O.
• Charles Marshall Bradshaw, M.D., P.A.
• Amari Bradsher
• Jeremy Scott Brady, M.D.

• General Practice Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.