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KIDS CLUB PEDIATRIC REHAB
NPI 1154767911
Clinic/Center - Rehabilitation in Harlingen, TX

Active since May 20, 2013
27043 BAKER POTTS RD, HARLINGEN, TX 78552(956) 792-4542 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kids Club Pediatric Rehab NPPES

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

KIDS CLUB PEDIATRIC REHAB (NPI 1154767911) is a healthcare organization registered as a rehabilitation in Harlingen, Texas and active in the NPI registry since May 2013. The organization lists Graciela A Bradwell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154767911
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameBRADWELL DIVERSIFIED
Location Address27043 BAKER POTTS RDHarlingen, TX 78552-3761
Mailing Address27043 Baker Potts RdHarlingen, TX 78552-3761 · (956) 792-4542
Phone(956) 792-4542
Organization SubpartNo
Authorized OfficialGraciela A BradwellAdministrator · (956) 792-4542
Enumeration DateMay 20, 2013
Last NPPES UpdateJuly 16, 2013
✔ NPI 1154767911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
27043 BAKER POTTS RD, Harlingen, TX 78552
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Other Names 1

Doing Business AsKids Club Pediatric Rehab

Other Providers at the Same Location NPPES 2

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

GRACIELA BRADWELL
Specialist/Technologist (Speech-Language Assistant)
27043 BAKER POTTS RD
HARLINGEN, TX 78552
Cameron County (956) 792-4542
MRS. CYNTHIA P WYCHE
Specialist/Technologist (Speech-Language Assistant)
27043 BAKER POTTS RD
HARLINGEN, TX 78552
Cameron County (956) 230-3301

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 Bradwell Diversified's NPI number?

The NPI number for Bradwell Diversified is 1154767911. It was assigned to this organization in the NPPES registry on May 20, 2013. The provider is doing business as Kids Club Pediatric Rehab.

Where is Bradwell Diversified located?

Bradwell Diversified is located at 27043 Baker Potts Rd, Harlingen, TX 78552. The listed phone number is (956) 792-4542.

What is Bradwell Diversified's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Bradwell Diversified was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.