DR. BRADLEY KENNETH DEAL M.D. NPI 1518958743

NPI Information

  • NPI: 1518958743
  • Provider Name: DR. BRADLEY KENNETH DEAL, M.D.
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • Address: 13 MAIN ST.
    SAN QUENTIN PRISON
    SAN QUENTIN, CA
    ZIP 94964
  • Phone: (415) 454-1460

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NPI Details

DR. Bradley Kenneth Deal, M.D. is a psychiatry psychiatry neurology in San Quentin, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Bradley Kenneth Deal, M.D. NPI is 1518958743. 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:

13 MAIN ST.
SAN QUENTIN PRISON
SAN QUENTIN, CA
ZIP 94964
Phone: (415) 454-1460

The enumeration date for this NPI number is 11/5/2005 and was last updated on 3/15/2012.

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
12084P0800XPsychiatry & NeurologyPsychiatryME94046FLORIDANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME94046FLORIDANo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA102530CALIFORNIANo
42084P0800XPsychiatry & NeurologyPsychiatryA102530CALIFORNIAYes

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
1276684100MEDICAIDFLORIDA
2A36155MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3H96897MEDICARE UPINFLORIDA

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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