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BRADLEY THOMAS BLACKWELL
NPI 1801785001
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Active since July 01, 2025
2403 PROFESSIONAL CENTER DR, SANTA ROSA, CA 95403(707) 360-4552 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bradley Thomas Blackwell NPPES

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

BRADLEY THOMAS BLACKWELL (NPI 1801785001) is an individual addiction (substance use disorder) provider in Santa Rosa, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1801785001
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRADLEY THOMAS BLACKWELL
Location Address2403 PROFESSIONAL CENTER DRSanta Rosa, CA 95403
Mailing Address15002 Chalk Hill RdHealdsburg, CA 95448-9027 · (707) 955-0243
Phone(707) 360-4552
Sole ProprietorYes
Enumeration DateJuly 1, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1801785001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2403 PROFESSIONAL CENTER DR, Santa Rosa, CA 95403
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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 Blackwell's NPI number?

The NPI number for Bradley Blackwell is 1801785001. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Bradley Blackwell located?

Bradley Blackwell practices at 2403 Professional Center Dr, Santa Rosa, CA 95403. The listed phone number is (707) 360-4552.

What is Bradley Blackwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bradley Blackwell was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.