Active NPIIndividual provider

Mark E Bradley, CLINICIAN

Counselor, Mental Health in Fitchburg, Massachusetts

NPI Number1457648693
Practice location
63 Fairmount St, Fitchburg, MA 01420-7613
Fax
—
Last updated
July 8, 2011

Mark Edward Bradley is a Counselor, Mental Health based in Fitchburg, MA. Mark Edward Bradley practices in Fitchburg, MA and has the professional credentials of CLINICIAN. The NPI Number for Mark Edward Bradley is 1457648693. The current practice location address for Mark Edward Bradley is 63 Fairmount St, Fitchburg, MA 01420-7613 and can be reached out via phone at 978-342-2709.

Provider Profile Details

NPI Number
1457648693
Provider Name
Mark Edward Bradley
Credential
CLINICIAN
Provider Entity Type
Individual
Gender
Male
Address
63 Fairmount St, Fitchburg, MA 01420-7613
Phone Number
978-342-2709
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2011
Last Update Date
July 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Fairmount St
Fitchburg, MA 01420-7613
Zip
01420-7613
Phone Number
978-342-2709
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
63 Fairmount St
Fitchburg, MA 01420-7613
City
Fitchburg
State
MA
Zip
01420-7613
Phone Number
978-342-2709

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark E Bradley, CLINICIAN?

The NPI number of Mark E Bradley, CLINICIAN is 1457648693. It was assigned on July 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Mark E Bradley, CLINICIAN?

Mark E Bradley, CLINICIAN is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mark E Bradley, CLINICIAN practice?

The practice location is 63 Fairmount St, Fitchburg, MA 01420-7613. The office can be reached at 978-342-2709 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457648693 directly on the NPPES registry website.

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