Active NPI
Bradley Medical Products Inc
- Durable Medical Equipment & Medical Supplies
- Newport Beach, CA
National Provider Identifier
1992830616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 44257
- Legal business name
- BRADLEY MEDICAL PRODUCTS INC
- Practice address
- 20101 SW Birch St
150 P
Newport Beach, CA 92660-1748 - Phone
- (949) 222-2206
- Fax
- (949) 644-0070
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kyle Bradley Anderson
- Title
- Owner
- Phone
- (949) 378-7787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 44257 | CA | Primary |
Addresses
Primary practice location
20101 SW Birch St
150 P
Newport Beach, CA 92660-1748
Mailing address
PO Box 8
Newport Beach, CA 92662-0008
Phone (949) 222-2206
National Provider Directory
National Provider DirectoryLocations
20101 SW Birch St
Ste 150P
Newport Beach, CA 92660
Phone (949) 222-2206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365638400000",
"number": "1992830616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926620008",
"telephone_number": "949-222-2206",
"fax_number": "949-644-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20101 SW BIRCH ST",
"address_2": "150 P",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601748",
"telephone_number": "949-222-2206",
"fax_number": "949-644-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADLEY MEDICAL PRODUCTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2013-04-11",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-378-7787",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "44257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.