DR. BRADLEY WILLIAM PATTERSON PHD NPI 1053376392

NPI Information

NPI: 1053376392
Provider Name: DR. BRADLEY WILLIAM PATTERSON, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
516 W 14TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 545-4983
Get Directions

DR. Bradley William Patterson, PHD is a clinical neuropsychologist in Pueblo, CO. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Bradley William Patterson, PHD NPI is 1053376392. 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:

516 W 14TH ST
PUEBLO, CO
ZIP 81003-722
Phone: (719) 545-4983

The enumeration date for this NPI number is 4/19/2006 and was last updated on 5/13/2008.

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
1	103G00000X	Clinical Neuropsychologist		1375	COLORADO	Yes

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
1	R18896	MEDICARE UPIN	COLORADO
2	C82916	MEDICARE PIN	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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