Bradley Barth
Individual provider Active NPI Counselor · West Yarmouth, MA
NPI 1962897462 · NPPES record last updated Apr 1, 2015
Key facts
- NPI
- 1962897462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582 - Phone
- (774) 470-2298
- NPI assigned
- Apr 1, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582
Mailing address
134 Ansel Hallet Rd
West Yarmouth, MA 02673-2582
Phone (774) 470-2298
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All providers in West Yarmouth, MA · Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.