Organization Active NPI

Brad Beldner

  • Developmental Therapist
  • Palo Alto, CA
National Provider Identifier
1972247468
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
BRAD BELDNER
Doing business as
Brad Beldner
Practice address
1088 Maddux Dr
Palo Alto, CA 94303-4014
Phone
(650) 630-2036
NPI assigned
Apr 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Mr. Brad Beldner, SEP
Title
Owner
Phone
(650) 630-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

1088 Maddux Dr
Palo Alto, CA 94303-4014

Mailing address

1088 Maddux Dr
Palo Alto, CA 94303-4014
Phone (650) 630-2036

Other names 1

  • Brad Beldner Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1972247468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 MADDUX DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034014",
            "telephone_number": "650-630-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 MADDUX DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034014",
            "telephone_number": "650-630-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD BELDNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "BELDNER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-630-2036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SEP"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brad Beldner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

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

Verify at the official NPI Registry.