1. Home
  2. Directory
  3. Indiana
  4. Granger
  5. Clinical Neuropsychologist
  6. NPI Profile

BRADFORD J EATON PHD
NPI 1417251109
Clinical Neuropsychologist in Granger, IN

Active since January 10, 2011
15744 SUNRISE TRL, GRANGER, IN 46530(574) 335-8800(574) 335-8801 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradford J Eaton Phd NPPES

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

BRADFORD J EATON PHD (NPI 1417251109) is a healthcare organization registered as a clinical neuropsychologist in Granger, Indiana and active in the NPI registry since January 2011. The organization lists Bradford J Eaton, President/owner, as its authorized official.

NPPES Registry Identity

NPI1417251109
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameBRADFORD J EATON PHD
Location Address15744 SUNRISE TRLGranger, IN 46530-9034
Mailing Address15744 Sunrise TrlGranger, IN 46530-9034 · (574) 335-8800 · Fax (574) 335-8801
Phone(574) 335-8800
Fax(574) 335-8801
Organization SubpartNo
Authorized OfficialBradford J EatonPresident/owner · (274) 335-8800
Enumeration DateJanuary 10, 2011
✔ NPI 1417251109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IN · 20041020A
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.
15744 SUNRISE TRL, Granger, IN 46530
Open in Google Maps ↗

Other Names 1

Former Legal Business NameBradford J Eaton Phd

Other Identifiers 1

Medicare PIN203300EIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bradford J Eaton Phd's NPI number?

The NPI number for Bradford J Eaton Phd is 1417251109. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is Bradford J Eaton Phd located?

Bradford J Eaton Phd is located at 15744 Sunrise Trl, Granger, IN 46530. The listed phone number is (574) 335-8800.

What is Bradford J Eaton Phd's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradford J Eaton Phd was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.