Organization Active NPI

Bradley Medical Products Inc

  • Durable Medical Equipment & Medical Supplies
  • Newport Beach, CA
National Provider Identifier
1992830616
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44257 Issued in CA
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

Updated by the provider on Apr 11, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.