John Benjamin Bradley in Aiken - Clinical
John Benjamin Bradley - NPI 1053517102
John Benjamin Bradley is a Clinical in Aiken, South Carolina. John Benjamin Bradley practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Benjamin Bradley is 1053517102. The last update date is 2007-07-08.
John Benjamin Bradley's current location address is 215 Barnwell Ave Nw, Aiken, South Carolina. You can contact this provider via phone number 8036490089 and fax number 8036485930. The mailing address for John Benjamin Bradley is 215 Barnwell Ave Nw, Aiken, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Benjamin Bradley |
|---|---|
| Address | 215 Barnwell Ave Nw, Aiken, South Carolina |
| Phone Number | 8036490089 |
| Fax Number | 8036485930 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053517102 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 Barnwell Ave Nw |
|---|---|
| City | Aiken |
| State | South Carolina (SC) |
| Post Code | 298013903 |
| Phone Number | 8036490089 |
| Fax Number | 8036485930 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 23 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to John Benjamin Bradley by the Centers for Medicare & Medicaid Services (CMS)?
The John Benjamin Bradley has been assigned the NPI (National Provider Identifier) 1053517102. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the John Benjamin Bradley's physical address?
The John Benjamin Bradley is physically located at 215 Barnwell Ave Nw, in the city of Aiken, SC, with the postal code 298013903.
What is the area of specialization for John Benjamin Bradley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Benjamin Bradley is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053517102 to John Benjamin Bradley?
The Centers for Medicare & Medicaid Services assigned the 1053517102 to John Benjamin Bradley on 2007-06-25.
As of what date was the information regarding John Benjamin Bradley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Benjamin Bradley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.