BRADLEY ALLEN WEST


Address: Watters Center for Family Life, 1-3358 Knox Street, Fort Bragg, NC 28310-5000
Phone: 9103966564

BRADLEY ALLEN WEST (NPI# 1184832883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184832883
Entity Type Individual
Full Name BRADLEY ALLEN WEST
Practice Address Watters Center for Family Life
1-3358 Knox Street
Fort Bragg
NC 28310-5000
Mailing Address 885 Fredonia Dr
Fayetteville
NC 28311-9333
Practice Telephone 9103966564
Mailing Telephone 9104853765
Mailing Fax Number 9103963826
Enumeration Date 2007-05-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Other Providers BRADLEY WEST

NPI Name Taxonomy Address Enumeration
1225256001 Bradley Russell West Naturopath 244 Oak Meadow Dr, Los Gatos, CA 95032-4452 2007-04-24
1245739358 Bradley West Psychologist 13 Locust St, Glens Falls, NY 12801-4544 2018-02-04
1891968863 Bradley Christian West Nurse Anesthetist, Certified Registered 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 2008-04-10

Office Location

Street Address WATTERS CENTER FOR FAMILY LIFE
1-3358 KNOX STREET
City FORT BRAGG
State NC
Zip Code 28310-5000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

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1558961524 Melba Hurley Counselor 4295 Blue Springs Rd, Red Springs, NC 28377-8577 2020-10-29
1013538396 Aarms Staffing Agency Counselor 1008 S Main St Ste 2, Salisbury, NC 28144-6457 2020-04-28
1558998724 Aline Tilithia Kent Counselor 2347 Chandler Mill Rd, Pelham, NC 27311-8778 2020-03-26
1578194072 Katherine M Paquin Counselor 441 W Williams St Ste 203, Apex, NC 27502-1836 2020-02-03
1275170375 Kenneth Grano Counselor 17830 Statesville Rd Ste 235, Cornelius, NC 28031-8193 2019-12-08
1801441316 Brenda G Jones Counselor 4926 Windy Hill Dr Ste A, Raleigh, NC 27609-5182 2019-08-02
1497217079 Sue Ashe Baldwin Counselor 1601 Twain Rd, Greensboro, NC 27405-4114 2019-04-03
1205397619 William Dowel Cunningham Counselor 1293 Hendersonville Rd Ste 24, Asheville, NC 28803-1956 2019-03-28
1649735994 Joseph Mcdaniel Jr. Counselor 221 N Elm St, Lumberton, NC 28358-5647 2019-01-31
1538639224 Carolyn Lucinda Hicks Counselor 2486 Gillespie St, Fayetteville, NC 28306-3023 2018-11-26
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Competitor

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City FORT BRAGG
Zip Code 28310

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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