Bradley, Brent Alan

Bradley, Brent Alan is an individual health care provider with primary practice located at 2515 Nasa Pkwy Suite B 10, Seabrook TX 77586-3479. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bradley, Brent Alan can be contacted via phone (832) 425-2495.

Contact Information

Primary practice address
2515 Nasa Pkwy Suite B 10 Seabrook TX 77586-3479
Phone: (832) 425-2495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001519A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 201382 Texas

Profile Details

NPI number 1972538130
LBN Legal business name Bradley, Brent Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972538130 NPPES
Indiana Other 000000388057 BCBS
Indiana Other 835937000 BCBS

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