BRADLEY R HOLT (NPI# 1578997060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578997060 |
| Entity Type | Individual |
| Full Name | BRADLEY R HOLT |
| Credential | MA, MBA |
| Practice Address |
175 King of Prussia Rd Radnor PA 19087-4521 |
| Mailing Address |
680 American Ave Suite 302 King of Prussia PA 19406-4023 |
| Practice Telephone | 6106446464 |
| Practice Fax Number | 6109816078 |
| Mailing Telephone | 6106446464 |
| Mailing Fax Number | 6109816078 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC008645 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902903008 | Bradley K. Holt | Physician Assistant | 704 Bridgecreek Dr, Columbia, SC 29229-8908 | 2006-09-20 |
| 1881006146 | Bradley Warren Holt | Social Worker | 323 12th Ave Rd, Nampa, ID 83686-5014 | 2014-05-21 |
| 1922230507 | Bradley Wyatt Holt | Anesthesiology | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2009-08-17 |
| 1154356889 | Bradley T Holt | Physician Assistant | 1007 Greenfield Dr, Tifton, GA 31794-3795 | 2006-07-11 |
| Street Address |
175 KING OF PRUSSIA RD |
| City | RADNOR |
| State | PA |
| Zip Code | 19087-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477602563 | Jason Michael Zimmerman | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2007-01-09 |
| 1922521889 | Erica C Yatsuk | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2017-07-24 |
| 1144759994 | Samantha B Gibson | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2017-06-06 |
| 1164974028 | Caroline M Hogan | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2016-10-26 |
| 1295287316 | Life Counseling Services | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2016-10-25 |
| 1578916631 | Karla M Pazzi | Social Worker | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2016-07-13 |
| 1730559949 | Laura A Sukonick | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2015-09-30 |
| 1609265677 | Julie Ann Guido | Social Worker | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2015-01-14 |
| 1356755839 | Gloria W. Daniels | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2014-06-12 |
| 1831484583 | George Roger Pedrick | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2011-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538410212 | Darlene Marie Scott | Counselor | 201 King of Prussia Rd, Suite 650, Radnor, PA 19087-5147 | 2012-09-21 |
| 1679723464 | Laura Rose Whitman | Counselor | 320 King of Prussia Road, Radnor, PA 19087-4440 | 2008-09-29 |
| 1477602563 | Jason Michael Zimmerman | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2007-01-09 |
| 1639720402 | Kathleen Martinez | Counselor | 320 King of Prussia Rd, Radnor, PA 19087-4440 | 2019-09-24 |
| 1437717543 | Samantha Palmer | Counselor | 320 King of Prussia Rd Fl 2, Radnor, PA 19087-4440 | 2019-06-04 |
| 1346808458 | Larissa Torcomian | Counselor | 320 King of Prussia Rd Fl 2, Radnor, PA 19087-4440 | 2019-06-04 |
| 1770140394 | Jessica Hansford | Counselor | 320 King of Prussia Rd, Radnor, PA 19087-4440 | 2019-05-20 |
| 1144759994 | Samantha B Gibson | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2017-06-06 |
| 1295287316 | Life Counseling Services | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2016-10-25 |
| 1356755839 | Gloria W. Daniels | Counselor | 175 King of Prussia Rd, Radnor, PA 19087-4521 | 2014-06-12 |
| Find all providers in RADNOR | ||||
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| 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.