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BRADLEY RICHEY
NPI 1063092799
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since April 08, 2021PECOS Enrolled
9975 TAVISTOCK LAKES BLVD, ORLANDO, FL 32827(407) 266-3627 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Richey NPPES

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

BRADLEY RICHEY (NPI 1063092799) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063092799
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADLEY RICHEY
Location Address9975 TAVISTOCK LAKES BLVDOrlando, FL 32827-7664
Mailing Address518 Birchwood AveTraverse City, MI 49686-2012 · (321) 482-0834
Phone(407) 266-3627
Sole ProprietorYes
Enumeration DateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1063092799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9975 TAVISTOCK LAKES BLVD, Orlando, FL 32827
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Richey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Radiology (Diagnostic Radiology)
9975 TAVISTOCK LAKES BLVD, SUITE 120
ORLANDO, FL 32827
Orange County (407) 200-2865
HAYDEN RUNNELLS
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
MS. SARAH FATIMA KHAN
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
DR. MEIRELYS CASTRO M.D.
Family Medicine
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-3627
KATELYN GRACE WARNER
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
ISABELA BEATRIZ FUTURO DE LIMA
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
SANYA BANSAL
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
ROHIT VEERAPANENI
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126

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 Bradley Richey's NPI number?

The NPI number for Bradley Richey is 1063092799. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Bradley Richey located?

Bradley Richey practices at 9975 Tavistock Lakes Blvd, Orlando, FL 32827. The listed phone number is (407) 266-3627.

What is Bradley Richey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bradley Richey enrolled in Medicare?

Yes. Bradley Richey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Richey was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.