WALTER G BRADLEY NPI 1003836362

NPI Information

  • NPI: 1003836362
  • Provider Name: WALTER G BRADLEY
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • Address: 1475 NW 12TH AVE
    BOX 016960 M851
    MIAMI, FL
    ZIP 33136
  • Phone: (305) 243-7520

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NPI Details

Walter G Bradley is a neurology with special qualifications in child neurology psychiatry neurology in Miami, FL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Walter G Bradley NPI is 1003836362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1475 NW 12TH AVE
BOX 016960 M851
MIAMI, FL
ZIP 33136-002
Phone: (305) 243-7520

The enumeration date for this NPI number is 7/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyME61738FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B97506MEDICARE UPINFLORIDA
211765MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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