Bradley Investment Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRADLEY INVESTMENT GROUP LLC

Practice address

8904 NW 130TH St
Oklahoma City, OK 73142-8616

Phone

(405) 203-9521

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Glenetta Bradley, LCSWNPI 1972831188

Title

Clinical Manager

Phone

(405) 203-9521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenetta Laschelle Bradley, LCSW

  • Behavior Analyst
  • Perry, OK
  • NPI 1972831188
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1982456950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 NW 130TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731428616",
            "telephone_number": "405-203-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 NW 130TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731428616",
            "telephone_number": "405-203-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "GLENETTA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "405-203-9521",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Rae Bradford, CNP
• Rachelle Ladawn Bradford, APRN-CNP
• Reagan H Bradford Jr., M.D.
• Wilbert Bradford
• William C Bradford Jr.
• Adyson Paige Bradley
• Aspen Jolanie Bradley, CCC-SLP
• Deborah Bradley, OTR/L
• Ellen Kimble Bradley
• Jared Allen Bradley

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.