Bradley Douglas Powell in Bryan - Psychologist
Bradley Douglas Powell - NPI 1699805929
Bradley Douglas Powell is a Psychologist in Bryan, Texas. Bradley Douglas Powell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bradley Douglas Powell is 1699805929. The last update date is 2007-07-08.
Bradley Douglas Powell's current location address is 2400 Broadmoor Dr Ste C, Bryan, Texas. You can contact this provider via phone number 9797749255 and fax number 9707749299. The mailing address for Bradley Douglas Powell is 2400 Broadmoor Dr Ste C, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Douglas Powell |
|---|---|
| Address | 2400 Broadmoor Dr Ste C, Bryan, Texas |
| Phone Number | 9797749255 |
| Fax Number | 9707749299 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1699805929 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2400 Broadmoor Dr Ste C |
|---|---|
| City | Bryan |
| State | Texas (TX) |
| Post Code | 778022870 |
| Phone Number | 9797749255 |
| Fax Number | 9707749299 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 32062 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Bradley Douglas Powell by the Centers for Medicare & Medicaid Services?
The Bradley Douglas Powell has been issued the NPI (National Provider Identifier) 1699805929. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley Douglas Powell?
The Bradley Douglas Powell is situated at 2400 Broadmoor Dr Ste C, in the city of Bryan, state of TX, with the zip code 778022870.
What is Bradley Douglas Powell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Douglas Powell is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Bradley Douglas Powell receive the assignment of its 1699805929 from the Centers for Medicare & Medicaid Services?
The Bradley Douglas Powell was issued its 1699805929 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information pertaining to Bradley Douglas Powell most recently updated or revised?
The details related to Bradley Douglas Powell, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.