BRADIE BRODHECKER NPI 1508681610

NPI Information

  • NPI: 1508681610
  • Provider Name: BRADIE BRODHECKER
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 279 SW 10TH ST
    ONTARIO, OR
    ZIP 97914
  • Phone: (541) 709-3059

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NPI Details

Bradie Brodhecker is an addiction (substance use disorder) counselor in Ontario, OR. Bradie Brodhecker NPI is 1508681610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

279 SW 10TH ST
ONTARIO, OR
ZIP 97914-135
Phone: (541) 709-3059

The enumeration date for this NPI number is 11/22/2024 and was last updated on 11/22/2024.

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)Yes

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

NPI Synchronization or Removal

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