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CHAUNCEY BRADFORD
NPI 1508474917
Peer Specialist in Mesa, AZ

Active since July 21, 2020
1616 E MAIN ST STE 207A-1, MESA, AZ 85203(480) 477-9199(480) 477-9199 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chauncey Bradford NPPES

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

CHAUNCEY BRADFORD (NPI 1508474917) is an individual peer specialist in Mesa, Arizona and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1508474917
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCHAUNCEY BRADFORD
Location Address1616 E MAIN ST STE 207A-1Mesa, AZ 85203-9071
Mailing Address1616 E Main St Ste 207a-1Mesa, AZ 85203-9071 · (480) 477-9199
Phone(480) 477-9199
Fax(480) 477-9199
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedJuly 21, 2020
✔ NPI 1508474917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1616 E MAIN ST STE 207A-1, Mesa, AZ 85203
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Other Identifiers 1

Medicaid503836AZ

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.

DONALD CHASE STIERS
Peer Specialist
1616 E MAIN ST STE 207A-1
MESA, AZ 85203
Maricopa County (480) 477-9199
JUST 1 SERVICES LLC
Community/Behavioral Health
1616 E MAIN ST STE 207A-1
MESA, AZ 85203
Maricopa County (480) 477-9199
JUSTIN DAVID LEE HARVEY PRSS
Peer Specialist
1616 E MAIN ST STE 207A-1
MESA, AZ 85203
Maricopa County (480) 477-9199
ERICA HOWARD
Peer Specialist
1616 E MAIN ST STE 207A-1
MESA, AZ 85203
Maricopa County (480) 477-9199
WAAHIDAH HENNIX
Peer Specialist
1616 E MAIN ST STE 207A-1
MESA, AZ 85203
Maricopa County (480) 477-9199

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 Chauncey Bradford's NPI number?

The NPI number for Chauncey Bradford is 1508474917. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Chauncey Bradford located?

Chauncey Bradford practices at 1616 E Main St Ste 207a-1, Mesa, AZ 85203. The listed phone number is (480) 477-9199.

What is Chauncey Bradford's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Chauncey Bradford was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.