BRADLEY JAMES BERTRAND CAC III NPI 1376837286

NPI Information

  • NPI: 1376837286
  • Provider Name: BRADLEY JAMES BERTRAND, CAC III
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 425 W 3RD ST
    PUEBLO, CO
    ZIP 81003
  • Phone: (719) 404-1992

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NPI Details

Bradley James Bertrand, CAC III is an addiction (substance use disorder) counselor in Pueblo, CO. Bradley James Bertrand, CAC III NPI is 1376837286. 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:

425 W 3RD ST
PUEBLO, CO
ZIP 81003-207
Phone: (719) 404-1992

The enumeration date for this NPI number is 6/8/2011 and was last updated on 6/8/2011.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)6416COLORADOYes

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: 3/30/2025

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