MR. BRIAN DAVID BRADLEY
NPI 1619384815
Psychologist - Clinical in Bingham Farms, MI

Active since July 20, 2014
30200 TELEGRAPH RD, SUITE 207, BINGHAM FARMS, MI 48025(248) 712-1129(248) 569-9410 Get Directions Write a Review

NPPES record last updated: August 9, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Brian David Bradley NPPES

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

MR. BRIAN DAVID BRADLEY (NPI 1619384815) is an individual clinical provider in Bingham Farms, Michigan, licensed in Michigan (6301006993) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1619384815
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. BRIAN DAVID BRADLEY
Location Address30200 TELEGRAPH RD, SUITE 207Bingham Farms, MI 48025-4502
Mailing Address4217 Arlington DrRoyal Oak, MI 48073-6305 · (248) 761-9679 · Fax (248) 569-9410
Fax(248) 569-9410
Sole ProprietorYes
Enumeration DateJuly 20, 2014
Last NPPES UpdateAugust 9, 2014
NPI 1619384815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301006993
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License CC-0C3110345997 (MI)
30200 TELEGRAPH RD, Bingham Farms, MI 48025

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.

Psychologist (Clinical)
30200 TELEGRAPH RD, SUITE 402
BINGHAM FARMS, MI 48025
Social Worker (Clinical)
30200 TELEGRAPH RD, SUITE207
BINGHAM FARMS, MI 48025
Anesthesiology
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Psychologist
30200 TELEGRAPH RD, SUITE 402
BINGHAM FARMS, MI 48025
Anesthesiology
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Nurse Anesthetist, Certified Registered
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Nurse Anesthetist, Certified Registered
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025
Anesthesiology
30200 TELEGRAPH RD, SUITE 220
BINGHAM FARMS, MI 48025

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 Brian Bradley's NPI number?

The NPI number for Brian Bradley is 1619384815. It was assigned to this individual provider in the NPPES registry on July 20, 2014.

Where is Brian Bradley located?

Brian Bradley practices at 30200 Telegraph Rd Suite 207, Bingham Farms, MI 48025. The listed phone number is (248) 712-1129.

What is Brian Bradley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brian Bradley was last updated on August 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.