BRIAN K BRADLEY AII2201214
NPI 1104397348
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Q: What is Brian Bradley's NPI number?

The NPI number for Brian Bradley is 1104397348. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Brian Bradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Brian Bradley was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 16, 2018

2212 N WINERY AVE, FRESNO, CA 93703(559) 600-9168 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian K Bradley Aii2201214 NPPES

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

BRIAN K BRADLEY AII2201214 (NPI 1104397348) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (AII2201214) and active in the NPI registry since December 2018. He maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1104397348

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameBRIAN K BRADLEYCredential: AII2201214

Location Address2212 N WINERY AVEFresno, CA 93703-2896

Mailing Address515 S Cedar AveFresno, CA 93702-2908 · (559) 600-9168

Phone(559) 600-9168

Sole ProprietorYes

Enumeration DateDecember 16, 2018

✔ NPI 1104397348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · AII2201214

2212 N WINERY AVE, Fresno, CA 93703

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Secondary Practice Location 1

Location 1515 S Cedar AveFresno, CA 93702-2908 · Phone (559) 600-9168

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 Brian Bradley's NPI number?

The NPI number for Brian Bradley is 1104397348. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Brian Bradley located?

Brian Bradley practices at 2212 N Winery Ave, Fresno, CA 93703. The listed phone number is (559) 600-9168.

What is Brian Bradley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brian Bradley was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.