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DR. BRADLEY J ENGWALL MD
NPI 1366588261
Psychiatry & Neurology - Child & Adolescent Psychiatry in Berkeley, CA

Active since January 29, 2007Opted out of Medicare · through Jan 1, 2027
2020 MILVIA ST, STE 450, BERKELEY, CA 94704(510) 559-1819(510) 559-1819 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bradley J Engwall Md NPPES

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

DR. BRADLEY J ENGWALL MD (NPI 1366588261) is an individual child & adolescent psychiatry provider in Berkeley, California, licensed in California (A62477) and active in the NPI registry since January 2007. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1366588261
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. BRADLEY J ENGWALLCredential: MD
Location Address2020 MILVIA ST, STE 450Berkeley, CA 94704-2685
Mailing Address2020 Milvia St, Ste 450Berkeley, CA 94704-2685 · (510) 559-1819 · Fax (510) 559-1819
Phone(510) 559-1819
Fax(510) 559-1819
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1366588261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A62477
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A62477 (CA)
2020 MILVIA ST, Berkeley, CA 94704
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH34280

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bradley J Engwall Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

DR. VINCENT ALDEN NOCERA MD
Psychiatry & Neurology (Psychiatry)
2020 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 843-2220
TARYN MONS THOMAS MA, MFT
Marriage & Family Therapist
2020 MILVIA ST, STE. 450
BERKELEY, CA 94704
Alameda County (510) 496-6070
DR. CHRISTOPHER S MICHEL M.D.
Psychiatry & Neurology (Psychiatry)
2020 MILVIA ST, SUITE 300
BERKELEY, CA 94704
Alameda County (510) 843-2220
DR. CRAIG FISCHER M.D.
Psychiatry & Neurology (Psychiatry)
2020 MILVIA ST, SUITE 300
BERKELEY, CA 94704
Alameda County (510) 843-2220
DYAMON WHITE LPCC., LCPC
Counselor (Professional)
2020 MILVIA ST
BERKELEY, CA 94704
Alameda County (708) 252-3515

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 Engwall's NPI number?

The NPI number for Bradley Engwall is 1366588261. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Bradley Engwall located?

Bradley Engwall practices at 2020 Milvia St Ste 450, Berkeley, CA 94704. The listed phone number is (510) 559-1819.

What is Bradley Engwall's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bradley Engwall enrolled in Medicare?

No. Bradley Engwall has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bradley Engwall was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.