DR. BRADLEY STEVEN MONTGOMERY (NPI# 1649404666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649404666 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY STEVEN MONTGOMERY |
| Credential | PH.D. |
| Practice Address |
6520 Lonetree Blvd Ste 138 Rocklin CA 95765-5874 |
| Practice Telephone | 9162769065 |
| Practice Fax Number | 9167710200 |
| Mailing Telephone | 9162769065 |
| Mailing Fax Number | 9167710200 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2101 S Interstate 35, Austin, TX 787413800 | 5124332020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750675658 | Bradley John Montgomery | Chiropractor | 5690 W 88th Ave, Westminster, CO 80031-3005 | 2011-06-08 |
| 1457376824 | Bradley Scott Montgomery | Student in an Organized Health Care Education/Training Program | Uwa Station 14, Livingston, AL 35470-0682 | 2006-07-13 |
| 1154445575 | Bradley Montgomery | Occupational Therapist | 511 S Neosho Blvd, Neosho, MO 64850-2049 | 2007-03-19 |
| Street Address |
6520 LONETREE BLVD STE 138 |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-5874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201362 | Ashley Laree Knapp | Counselor | 1908 Hillock Ct, Rocklin, CA 95765-5401 | 2019-11-29 |
| 1013435775 | Gabriel Martin Leporati | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2017-09-01 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1144352436 | Lynda M Miller | Counselor | 2406 Zephyr Cv, Rocklin, CA 95677-4786 | 2007-03-12 |
| 1023140738 | Victoria Louise Hanlon | Counselor | 6501 Winter Rush Dr, Rocklin, CA 95677-4519 | 2007-03-09 |
| 1629089586 | Andrew Breedlove | Counselor | 3175 Sunset Blvd, Suite 104a, Rocklin, CA 95677-3091 | 2006-08-10 |
| 1558989327 | Samantha Moody | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-07-08 |
| 1861017246 | Wellness Together, Inc. | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-06-11 |
| 1306478789 | Stephanie Kay Frazier | Counselor | 1000 Sunset Blvd Ste 140, Rocklin, CA 95765-5482 | 2020-02-04 |
| Find all providers in ROCKLIN | ||||
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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.