MR. BRENT BRADLEY P.D.
NPI 1255760179
Pharmacy - Community/Retail Pharmacy in Maumelle, AR

Active since November 01, 2013
1900 CLUB MANOR, MAUMELLE, AR 72113(501) 803-9400(501) 803-9441 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brent Bradley P.d. NPPES

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

MR. BRENT BRADLEY P.D. (NPI 1255760179) is an individual community/retail pharmacy provider in Maumelle, Arkansas and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1255760179
Entity TypeIndividualMale
Primary Taxonomy3336C0003X
Provider Legal NameMR. BRENT BRADLEYCredential: P.D.
Location Address1900 CLUB MANORMaumelle, AR 72113
Mailing Address1900 Club ManorMaumelle, AR 72113 · (501) 803-9400 · Fax (501) 803-9441
Fax(501) 803-9441
Sole ProprietorYes
Enumeration DateNovember 1, 2013
NPI 1255760179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1900 CLUB MANOR, Maumelle, AR 72113

Other Identifiers 1

Medicare UPIN10677AR

Other Providers at the Same Location NPPES

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

Clinic/Center
1900 CLUB MANOR, SUITE 105
MAUMELLE, AR 72113

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 Brent Bradley's NPI number?

The NPI number for Brent Bradley is 1255760179. It was assigned to this individual provider in the NPPES registry on November 1, 2013.

Where is Brent Bradley located?

Brent Bradley practices at 1900 Club Manor, Maumelle, AR 72113. The listed phone number is (501) 803-9400.

What is Brent Bradley's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Brent Bradley was last updated on November 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.