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BRADFORD LAVOID SOUTHERN LPC
NPI 1104446343
Counselor - Mental Health in Gadsden, AL

Active since April 17, 2020Opted out of Medicare · through Sep 30, 2027
1521 RAINBOW DR, GADSDEN, AL 35901(256) 459-8255 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Apr 17, 2020 (2 updates tracked since 2020).

About Bradford Lavoid Southern Lpc NPPES

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

BRADFORD LAVOID SOUTHERN LPC (NPI 1104446343) is an individual mental health provider in Gadsden, Alabama, licensed in Alabama (C3519A) and active in the NPI registry since April 2020. He has opted out of Medicare through September 30, 2027.

NPPES Registry Identity

NPI1104446343
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRADFORD LAVOID SOUTHERNCredential: LPC
Location Address1521 RAINBOW DRGadsden, AL 35901-5395
Mailing Address272 Spring RdOhatchee, AL 36271-9345 · (256) 459-8255
Phone(256) 459-8255
Sole ProprietorNo
Enumeration DateApril 17, 2020
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1104446343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in AL · C3519A✔ Licensed in AL · 4619
Also ListedCounselorTaxonomy 101Y00000X · License 4619 (AL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4619 (AL)
1521 RAINBOW DR, Gadsden, AL 35901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bradford Lavoid Southern Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 30, 2025 through September 30, 2027.

Opt-Out Effective DateSeptember 30, 2025
Opt-Out In Effect ThroughSeptember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

JOSEPH SCOTT RAYBURN M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281
JOSEPH PETERS M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281
HOWARD MARC FRIEDMAN M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281
SOUTHERN ASSOCIATES
Counselor (Mental Health)
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 459-8255
PHILIP SISSONS M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281
DR. GEORGE EDWARD ASH JR. M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281
MRS. JANEL L KUNZA M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281
JAMES GARY DIAL M.D.
Anesthesiology
1521 RAINBOW DR
GADSDEN, AL 35901
Etowah County (256) 546-5281

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 Bradford Southern's NPI number?

The NPI number for Bradford Southern is 1104446343. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Bradford Southern located?

Bradford Southern practices at 1521 Rainbow Dr, Gadsden, AL 35901. The listed phone number is (256) 459-8255.

What is Bradford Southern's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bradford Southern enrolled in Medicare?

No. Bradford Southern has opted out of Medicare through September 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Bradford Southern accept?

Health plans from Blue Cross and Blue Shield of Alabama list Bradford Southern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradford Southern was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.