JOHNNY RAY BRADLEY JR.
NPI 1124620554
Counselor - Mental Health in Richmond, VA

Q: What is Johnny Bradley's NPI number?

The NPI number for Johnny Bradley is 1124620554. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Q: What is Johnny Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johnny Bradley was last updated on November 10, 2020. 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.

Active since November 10, 2020

1510 WILLOW LAWN DR STE 100D, RICHMOND, VA 23230(804) 512-0061(833) 881-9200 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johnny Ray Bradley Jr. NPPES

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

JOHNNY RAY BRADLEY JR. (NPI 1124620554) is an individual mental health provider in Richmond, Virginia and active in the NPI registry since November 2020. He maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1124620554

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJOHNNY RAY BRADLEY JR.

Location Address1510 WILLOW LAWN DR STE 100DRichmond, VA 23230-3429

Mailing Address4220 Rosedown PlRichmond, VA 23223-5860

Phone(804) 512-0061

Fax(833) 881-9200

Sole ProprietorYes

Enumeration DateNovember 10, 2020

NPPES CertifiedNovember 10, 2020

✔ NPI 1124620554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1510 WILLOW LAWN DR STE 100D, Richmond, VA 23230

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Secondary Practice Location 1

Location 14220 Rosedown PlRichmond, VA 23223-5860 · Phone (804) 512-0061

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 Johnny Bradley's NPI number?

The NPI number for Johnny Bradley is 1124620554. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Johnny Bradley located?

Johnny Bradley practices at 1510 Willow Lawn Dr Ste 100D, Richmond, VA 23230. The listed phone number is (804) 512-0061.

What is Johnny Bradley's specialty?

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

When was this NPI record last updated?

The NPPES record for Johnny Bradley was last updated on November 10, 2020. 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.