Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIFER W. BRADFORD PHD
NPI 1306199245
Psychologist in Dallas, TX

Active since October 16, 2012PECOS Enrolled
8140 WALNUT HALL LANE, SUITE 320, DALLAS, TX 75231(972) 863-2232(972) 474-9043 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Mar 12, 2025, Oct 3, 2023 and 3 more (6 updates tracked since 2016).

About Dr. Jennifer W. Bradford Phd NPPES

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

DR. JENNIFER W. BRADFORD PHD (NPI 1306199245) is an individual psychologist in Dallas, Texas, licensed in Texas (36341) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306199245
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER W. BRADFORDCredential: PHD
Location Address8140 WALNUT HALL LANE, SUITE 320Dallas, TX 75231
Mailing Address8140 Walnut Hill Ln Ste 320Dallas, TX 75231-4328 · (972) 863-2232 · Fax (972) 474-9043
Fax(972) 474-9043
Sole ProprietorYes
Enumeration DateOctober 16, 2012
Last NPPES UpdateJuly 7, 20266 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1306199245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in TX · 36341 Licensed in NJ · 35S100461900 Licensed in NY · 17357
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 17483
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 21637 (CA)
8140 WALNUT HALL LANE, Dallas, TX 75231

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jennifer W. Bradford Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jennifer Bradford's NPI number?

The NPI number for Jennifer Bradford is 1306199245. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Jennifer Bradford located?

Jennifer Bradford practices at 8140 Walnut Hall Lane Suite 320, Dallas, TX 75231. The listed phone number is (972) 863-2232.

What is Jennifer Bradford's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Bradford enrolled in Medicare?

Yes. Jennifer Bradford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Bradford was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.