BRADLEY MARK WOLGAST
NPI 1457012767
Psychologist - Counseling in Media, PA

Active since January 08, 2022Opted out of Medicare · through Nov 29, 2026
221 N OLIVE ST, MEDIA, PA 19063(484) 442-0849 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Mark Wolgast NPPES

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

BRADLEY MARK WOLGAST (NPI 1457012767) is an individual counseling provider in Media, Pennsylvania, licensed in Pennsylvania (PS015452) and active in the NPI registry since January 2022. He has opted out of Medicare through November 29, 2026.

NPPES Registry Identity

NPI1457012767
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameBRADLEY MARK WOLGAST
Location Address221 N OLIVE STMedia, PA 19063-3250
Mailing Address221 N Olive StMedia, PA 19063-3250 · (484) 442-0849
Sole ProprietorYes
Enumeration DateJanuary 8, 2022
NPPES CertifiedJanuary 8, 2022
NPI 1457012767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Licenses Licensed in PA · PS015452 Licensed in DE · B10000802
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
221 N OLIVE ST, Media, PA 19063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Bradley Mark Wolgast 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 November 29, 2022 through November 29, 2026.

Opt-Out Effective DateNovember 29, 2022
Opt-Out In Effect ThroughNovember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Psychologist
221 N OLIVE ST
MEDIA, PA 19063
Psychologist (School)
221 N OLIVE ST, FIRST FLOOR
MEDIA, PA 19063
Psychologist
221 N OLIVE ST, FIRST FLOOR
MEDIA, PA 19063
Psychologist (Clinical)
221 N OLIVE ST
MEDIA, PA 19063

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 Wolgast's NPI number?

The NPI number for Bradley Wolgast is 1457012767. It was assigned to this individual provider in the NPPES registry on January 8, 2022.

Where is Bradley Wolgast located?

Bradley Wolgast practices at 221 N Olive St, Media, PA 19063. The listed phone number is (484) 442-0849.

What is Bradley Wolgast's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Bradley Wolgast enrolled in Medicare?

No. Bradley Wolgast has opted out of Medicare through November 29, 2026. 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 Wolgast was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.