1. Home
  2. Directory
  3. California
  4. Redlands
  5. Clinical Neuropsychologist
  6. NPI Profile

BRADLEY WILLIAM REYNOLDS PHD
NPI 1306362686
Clinical Neuropsychologist in Redlands, CA

Active since August 17, 2017PECOS Enrolled
1686 BARTON RD, REDLANDS, CA 92373(909) 558-5948 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Jun 12, 2021, Aug 17, 2017 (3 updates tracked since 2017).

About Bradley William Reynolds Phd NPPES

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

BRADLEY WILLIAM REYNOLDS PHD (NPI 1306362686) is an individual clinical neuropsychologist in Redlands, California, licensed in California (32667) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1306362686
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameBRADLEY WILLIAM REYNOLDSCredential: PHD
Location Address1686 BARTON RDRedlands, CA 92373-1488
Mailing Address21111 Wood Ave Apt 16Torrance, CA 90503-4136 · (714) 625-7232
Phone(909) 558-5948
Sole ProprietorNo
Enumeration DateAugust 17, 2017
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1306362686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · 32667
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 32667 (CA)
1686 BARTON RD, Redlands, CA 92373
Open in Google Maps ↗

Secondary Practice Location 1

Location 1920 Stanton L Young Blvd # 3421Oklahoma City, OK 73104-5036 · Phone (405) 271-4468

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley William Reynolds 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.

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.

MELJORIE-ELEONORE CASTILLON LAUNIO MD
Psychiatry & Neurology (Psychiatry)
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 665-7228
AMANDA KHALIL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 558-9532
KIMBERLY MILLER PSYD
Psychologist
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 558-9500
DR. PEDRO A ORTA II MD, MPH
Psychiatry & Neurology (Psychiatry)
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 558-9532
DARCY TRENKLE M.D.
Psychiatry & Neurology (Psychiatry)
1686 BARTON RD, BOX E
REDLANDS, CA 92373
San Bernardino County (909) 558-9551
BRIAN GROSS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 558-9500
JENNIFER MINAMI M.D.
Psychiatry & Neurology (Psychiatry)
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 558-9500
DR. KENDRA JOHANNA LE DO
Psychiatry & Neurology (Psychiatry)
1686 BARTON RD
REDLANDS, CA 92373
San Bernardino County (909) 558-9547

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 Reynolds's NPI number?

The NPI number for Bradley Reynolds is 1306362686. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Bradley Reynolds located?

Bradley Reynolds practices at 1686 Barton Rd, Redlands, CA 92373. The listed phone number is (909) 558-5948.

What is Bradley Reynolds's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Bradley Reynolds enrolled in Medicare?

Yes. Bradley Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Reynolds was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.