DR. BRADLEY REDDICK M.D.
NPI 1457361859
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlotte, NC

Q: What is Bradley Reddick's NPI number?

The NPI number for Bradley Reddick is 1457361859. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Bradley Reddick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Reddick 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.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

3303 LATROBE DR, CHARLOTTE, NC 28211(704) 362-2663(704) 362-2836 Get Directions Write a Review

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

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About Dr. Bradley Reddick M.d. NPPES

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

DR. BRADLEY REDDICK M.D. (NPI 1457361859) is an individual child & adolescent psychiatry provider in Charlotte, North Carolina and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1996).

NPPES Registry Identity

NPI1457361859

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. BRADLEY REDDICKCredential: M.D.

Location Address3303 LATROBE DRCharlotte, NC 28211-4851

Mailing Address3303 Latrobe DrCharlotte, NC 28211-4851 · (704) 362-2663 · Fax (704) 362-2836

Phone(704) 362-2663

Fax(704) 362-2836

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1996

Enumeration DateAugust 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1457361859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

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.

3303 LATROBE DR, Charlotte, NC 28211

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Other Identifiers 2

Medicare UPING81434NC

Medicare ID-Type Unspecified2001919NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bradley Reddick M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496749533

PECOS Enrollment IDI20110504000849

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ROSS MACRAE MASTERS MD

Psychiatry & Neurology (Psychiatry)