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DR. JOHN BENJAMIN BRADLEY PH.D.
NPI 1053517102
Psychologist - Clinical in Aiken, SC

Active since June 25, 2007
215 BARNWELL AVE NW, AIKEN, SC 29801(803) 649-0089(803) 648-5930 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Benjamin Bradley Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN BENJAMIN BRADLEY PH.D. (NPI 1053517102) is an individual clinical provider in Aiken, South Carolina, licensed in South Carolina (23) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053517102
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN BENJAMIN BRADLEYCredential: PH.D.
Location Address215 BARNWELL AVE NWAiken, SC 29801-3903
Mailing Address215 Barnwell Ave NwAiken, SC 29801-3903 · (803) 649-0089 · Fax (803) 648-5930
Phone(803) 649-0089
Fax(803) 648-5930
Sole ProprietorYes
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053517102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 23
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
215 BARNWELL AVE NW, Aiken, SC 29801
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM JOHN TREZZA LISW-CP
Social Worker (Clinical)
215 BARNWELL AVE NW
AIKEN, SC 29801
Aiken County (803) 642-5480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Bradley's NPI number?

The NPI number for John Bradley is 1053517102. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is John Bradley located?

John Bradley practices at 215 Barnwell Ave NW, Aiken, SC 29801. The listed phone number is (803) 649-0089.

What is John Bradley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for John Bradley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.