DR. LARRY EDWIN BRADLEY D.O.
NPI 1962711036
General Practice in Fort Worth, TX

Q: What is Larry Bradley's NPI number?

The NPI number for Larry Bradley is 1962711036. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Q: What is Larry Bradley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Bradley was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 06, 2010

7016 RIVERPORT RD, FORT WORTH, TX 76116(817) 738-4288 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Larry Edwin Bradley D.o. NPPES

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

DR. LARRY EDWIN BRADLEY D.O. (NPI 1962711036) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (H6067) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1962711036

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. LARRY EDWIN BRADLEYCredential: D.O.

Location Address7016 RIVERPORT RDFort Worth, TX 76116-9311

Mailing Address7016 Riverport RdFort Worth, TX 76116-9311 · (817) 738-4288

Phone(817) 738-4288

Sole ProprietorYes

Enumeration DateOctober 6, 2010

✔ NPI 1962711036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · H6067

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

7016 RIVERPORT RD, Fort Worth, TX 76116

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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 Larry Bradley's NPI number?

The NPI number for Larry Bradley is 1962711036. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Larry Bradley located?

Larry Bradley practices at 7016 Riverport Rd, Fort Worth, TX 76116. The listed phone number is (817) 738-4288.

What is Larry Bradley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Larry Bradley was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.