MR. BRADLEY STEVEN FRUIT MBA
NPI 1447547518
Counselor in Portland, OR

Active since July 08, 2011
55 SE GRAND AVE, PORTLAND, OR 97232(503) 954-4452 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bradley Steven Fruit Mba NPPES

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

MR. BRADLEY STEVEN FRUIT MBA (NPI 1447547518) is an individual counselor in Portland, Oregon and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1447547518
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. BRADLEY STEVEN FRUITCredential: MBA
Location Address55 SE GRAND AVEPortland, OR 97232
Mailing Address1080 Marina Village Pkwy, Suite 100Alameda, CA 94501-6427 · (503) 954-4452
Sole ProprietorNo
Enumeration DateJuly 8, 2011
Last NPPES UpdateMarch 15, 2018
NPI 1447547518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
55 SE GRAND AVE, Portland, OR 97232

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 Fruit's NPI number?

The NPI number for Bradley Fruit is 1447547518. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Bradley Fruit located?

Bradley Fruit practices at 55 SE Grand Ave, Portland, OR 97232. The listed phone number is (503) 954-4452.

What is Bradley Fruit's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Bradley Fruit was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.