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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRADLEY TADEWALD RADT
NPI 1669376893
Case Manager/Care Coordinator in San Diego, CA

Active since October 02, 2026
2456 E ST, SAN DIEGO, CA 92102(619) 391-2419 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bradley Tadewald Radt NPPES

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

BRADLEY TADEWALD RADT (NPI 1669376893) is an individual case manager/care coordinator provider in San Diego, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1669376893
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBRADLEY TADEWALDCredential: RADT
Location Address2456 E STSan Diego, CA 92102-2024
Mailing Address2456 E StSan Diego, CA 92102-2024 · (619) 391-2419
Phone(619) 391-2419
Sole ProprietorNo
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1669376893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2456 E ST, San Diego, CA 92102
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Other Providers at the Same Location NPPES 9

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

JOYCE STOFFEL LCSW
Social Worker
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 391-2419
BRITTNY VICKERS SUDRC III
Counselor (Addiction (Substance Use Disorder))
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 391-2419
MISS MIMI BROWN BACHELOR OF ARTS PSY
Case Manager/Care Coordinator
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 391-2419
BH-SD DD OPCO, LLC
Substance Abuse Rehabilitation Facility
2456 E ST
SAN DIEGO, CA 92102
San Diego County (858) 254-2510
TYLLINE ANGELIE MORGAN LVN
Licensed Vocational Nurse
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 320-4813
WILLIAM HENRY MAZZARELLA JR. COUNSELOR
Registered Nurse (Addiction (Substance Use Disorder))
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 503-7680
KRISTEN AUREA POBLETE ABELLA BASW
Counselor (Addiction (Substance Use Disorder))
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 503-7680
NADIA LUGUE L.V.N
Licensed Vocational Nurse
2456 E ST
SAN DIEGO, CA 92102
San Diego County (619) 320-4813

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 Tadewald's NPI number?

The NPI number for Bradley Tadewald is 1669376893. It was assigned to this individual provider in the NPPES registry on October 2, 2026.

Where is Bradley Tadewald located?

Bradley Tadewald practices at 2456 E St, San Diego, CA 92102. The listed phone number is (619) 391-2419.

What is Bradley Tadewald's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Bradley Tadewald was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.