ROBERT RICH BRADBURY JR. MSW
NPI 1255708871
Counselor - Mental Health in Portland, OR

Active since August 31, 2015PECOS Enrolled
847 NE 19TH AVE, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Rich Bradbury Jr. Msw NPPES

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

ROBERT RICH BRADBURY JR. MSW (NPI 1255708871) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255708871
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROBERT RICH BRADBURY JR.Credential: MSW
Location Address847 NE 19TH AVEPortland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 31, 2015
Last NPPES UpdateMarch 17, 2018
NPI 1255708871 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
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
847 NE 19TH AVE, Portland, OR 97232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert Rich Bradbury Jr. Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022593623
PECOS Enrollment IDI20260401001027
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.

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.

Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232

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 Robert Bradbury's NPI number?

The NPI number for Robert Bradbury is 1255708871. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Robert Bradbury located?

Robert Bradbury practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Robert Bradbury's specialty?

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

Is Robert Bradbury enrolled in Medicare?

Yes. Robert Bradbury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Bradbury was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.