MARK WINTER BRADLEY L.M.T.
NPI 1356408116
Specialist in West Melbourne, FL

Active since January 02, 2007
756 PREAKNESS DR, WEST MELBOURNE, FL 32904(321) 749-1924 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Winter Bradley L.m.t. NPPES

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

MARK WINTER BRADLEY L.M.T. (NPI 1356408116) is an individual specialist in West Melbourne, Florida, licensed in Florida (MA 4120) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1356408116
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK WINTER BRADLEYCredential: L.M.T.
Location Address756 PREAKNESS DRWest Melbourne, FL 32904-7310
Mailing Address756 Preakness DrWest Melbourne, FL 32904-7310 · (321) 749-1924
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356408116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · MA 4120
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
756 PREAKNESS DR, West Melbourne, FL 32904

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 Mark Bradley's NPI number?

The NPI number for Mark Bradley is 1356408116. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Mark Bradley located?

Mark Bradley practices at 756 Preakness Dr, West Melbourne, FL 32904. The listed phone number is (321) 749-1924.

What is Mark Bradley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Bradley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.