TRISTAN BRADLEY I
NPI 1629527551
Counselor in Bethel, AK

Q: What is Tristan Bradley's NPI number?

The NPI number for Tristan Bradley is 1629527551. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Q: What is Tristan Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tristan Bradley was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 04, 2016

381 4TH AVE., BETHEL, AK 99559(907) 543-2242(907) 543-1481 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tristan Bradley I NPPES

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

TRISTAN BRADLEY I (NPI 1629527551) is an individual counselor in Bethel, Alaska and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1629527551

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTRISTAN BRADLEY I

Location Address381 4TH AVE.Bethel, AK 99559-3227

Mailing AddressPo Box 3227, Attn: Bh Bautista House ProgramBethel, AK 99559-3227 · (907) 543-2242 · Fax (907) 543-1481

Phone(907) 543-2242

Fax(907) 543-1481

Sole ProprietorNo

Enumeration DateOctober 4, 2016

✔ NPI 1629527551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

381 4TH AVE., Bethel, AK 99559

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Other Identifiers 1

Medicaid1020986AK

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.

MICHAEL BERLIN

Counselor

381 4TH AVE.
BETHEL, AK 99559

Bethel (907) 543-2242

KAITLIN KRISTOVICH

Counselor

381 4TH AVE.
BETHEL, AK 99559

Bethel (907) 543-2242

LORENZO CHAVEZ

Counselor

381 4TH AVE.
BETHEL, AK 99559

Bethel (907) 543-2242

MICHAEL ALEX UTTEREYUK

Counselor

381 4TH AVE.
BETHEL, AK 99559

Bethel (907) 543-2242

YUKON KUSKOKWIM HEALTH CORPORATION

Clinic/Center (Multi-Specialty)

381 4TH AVE.
BETHEL, AK 99559

Bethel (907) 543-6452

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 Tristan Bradley's NPI number?

The NPI number for Tristan Bradley is 1629527551. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Tristan Bradley located?

Tristan Bradley practices at 381 4th Ave., Bethel, AK 99559. The listed phone number is (907) 543-2242.

What is Tristan Bradley'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 Tristan Bradley was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.