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BRADLEY BERGDOLL RECOVERY ASSISTANT
NPI 1295174712
Case Manager/Care Coordinator in Clinton, AR

Active since June 18, 2013
242 SHAKE RAG RD, CLINTON, AR 72031(501) 745-6644 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bradley Bergdoll Recovery Assistant NPPES

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

BRADLEY BERGDOLL RECOVERY ASSISTANT (NPI 1295174712) is an individual case manager/care coordinator provider in Clinton, Arkansas and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1295174712
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBRADLEY BERGDOLLCredential: RECOVERY ASSISTANT
Location Address242 SHAKE RAG RDClinton, AR 72031-6629
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Phone(501) 745-6644
Sole ProprietorNo
Enumeration DateJune 18, 2013
✔ NPI 1295174712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
242 SHAKE RAG RD, Clinton, AR 72031
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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.

ERIN WRIGHT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
DEBBIE BALLARD
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
CALLI OWEN RECOVERY ASSISTANT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 745-6644
JENNIFER PUGH RECOVERY ASSISTANT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 745-6644
RICHARD GRAY RECOVERY ASSISTANT
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 745-6644
DANA GRANTHAM
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
MISTY HORTON
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344
STEPHEN MOUDY
Case Manager/Care Coordinator
242 SHAKE RAG RD
CLINTON, AR 72031
Van Buren County (501) 315-3344

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 Bergdoll's NPI number?

The NPI number for Bradley Bergdoll is 1295174712. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Bradley Bergdoll located?

Bradley Bergdoll practices at 242 Shake Rag Rd, Clinton, AR 72031. The listed phone number is (501) 745-6644.

What is Bradley Bergdoll's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Bradley Bergdoll was last updated on June 18, 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.