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DR. BRADLEY WILLIAM SAMUEL PHD
NPI 1255363586
Psychologist - Clinical in Albuquerque, NM

Active since July 07, 2006
2400 TUCKER NE, ALBUQUERQUE, NM 87131(505) 272-1734(505) 272-6308 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bradley William Samuel Phd NPPES

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

DR. BRADLEY WILLIAM SAMUEL PHD (NPI 1255363586) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (738) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255363586
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRADLEY WILLIAM SAMUELCredential: PHD
Location Address2400 TUCKER NEAlbuquerque, NM 87131-0001
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120 · Fax (505) 272-8060
Phone(505) 272-1734
Fax(505) 272-6308
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 22, 2012
✔ NPI 1255363586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · 738
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2400 TUCKER NE, Albuquerque, NM 87131
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Other Identifiers 4

Medicaid09702784CO
Medicare UPINNPP000
OtherNM01JB06NM · Blue Shield
Medicaid955627AZ

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.

EMMA KATHRYN WORRINGER MD, MPH
Family Medicine
2400 TUCKER NE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1734
SALLY BACHOFER
Family Medicine
2400 TUCKER NE, MSC 09-5040 1 UNIVERSITY OF NEW MEXICO (FPC)
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1734
MR. DAVID G STROMBERG M.D.
Family Medicine (Adult Medicine)
2400 TUCKER NE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1734
DR. SARAH BETH GOPMAN M.D.
Family Medicine
2400 TUCKER NE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2165
KIRA ANNE PAISLEY MD
Family Medicine
2400 TUCKER NE, MSC09 5040
ALBUQUERQUE, NM 87131
Bernalillo County (503) 956-2408
SYLVIA YVONNE ELLINGTON PA-C
Physician Assistant
2400 TUCKER NE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1734
TAMALA JEAN EBERLY BOS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2400 TUCKER NE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-2223
DR. DANIELLE DENISE DRAPER MD
Family Medicine
2400 TUCKER NE
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1734

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 Bradley Samuel's NPI number?

The NPI number for Bradley Samuel is 1255363586. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Bradley Samuel located?

Bradley Samuel practices at 2400 Tucker NE, Albuquerque, NM 87131. The listed phone number is (505) 272-1734.

What is Bradley Samuel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Bradley Samuel was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.