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KHALIL R BRADLEY
NPI 1205574613
Social Worker - Clinical in Enfield, CT

Active since May 25, 2022PECOS EnrolledAccepts Medicare Assignment
153 HAZARD AVE, ENFIELD, CT 06082(860) 253-5020(860) 731-5536 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Khalil R Bradley NPPES

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

KHALIL R BRADLEY (NPI 1205574613) is an individual clinical provider in Enfield, Connecticut and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205574613
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKHALIL R BRADLEY
Location Address153 HAZARD AVEEnfield, CT 06082-4592
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 697-3351 · Fax (860) 731-5536
Phone(860) 253-5020
Fax(860) 731-5536
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
✔ NPI 1205574613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
153 HAZARD AVE, Enfield, CT 06082
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khalil R Bradley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830618909
PECOS Enrollment IDI20250522000766
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Khalil Bradley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Resources, Inc.
Same address
Primary Care
153 HAZARD AVE
Enfield, CT 06082
  • Reassigned Medicare billing, Connecticut enrollment
  • 227 clinicians in this Medicare group
NPI 1346700093 (860) 253-5020
Harvest Healthcare LLC
18 mi
Clinical
21 WATERVILLE RD
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 144 clinicians in this Medicare group
NPI 1477712917 (860) 284-0182

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHALIAR DREW
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
JULIANNE BERNSTEIN
Student in an Organized Health Care Education/Training Program
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MEILINE SMITH
Marriage & Family Therapist
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MONICA E CRIMMINS
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
KEVIN LENIART
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
AMY KINGSBURY
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 731-5522
ALEXA A LIUCCI
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
JOHN A TINNIRELLA
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571

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 Khalil Bradley's NPI number?

The NPI number for Khalil Bradley is 1205574613. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Khalil Bradley located?

Khalil Bradley practices at 153 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 253-5020.

What is Khalil Bradley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Khalil Bradley enrolled in Medicare?

Yes. Khalil Bradley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Khalil Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khalil Bradley reassigns Medicare benefits to 2 organizations: Community Health Resources, Inc. (Enfield, CT) and Harvest Healthcare LLC (Avon, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khalil Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khalil Bradley accept?

Health plans from Anthem Blue Cross and Blue Shield list Khalil Bradley 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 Khalil Bradley was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.