Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619969003 Individual Practitioner Male Practitioner

Robert Wayne Bradley , PSYCHOLOGIST

Specialist • Garland, TX

Professional Overview & Biography Verified Profile Summary

Robert Bradley, PSYCHOLOGIST is a registered healthcare professional specializing in Specialist in Garland, TX. Practice services are available at 2692 W WALNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2692 W Walnut St
Suite 105

Garland, TX 750426474

Telephone 9724942676
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Garland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 58.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Garland, TX (2033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 22628

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
097798502 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1447263215

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2007

Registered at 2692 W WALNUT ST, SUITE 105, GARLAND, TX 750426474 (Tel: 9724942676)

📍
Updated Business Mailing Address July 12, 2007

Registered at 2692 W WALNUT ST, SUITE 105, GARLAND, TX 750426474

👤
Provider Name / Credentials Updated July 12, 2007

Recorded as ROBERT BRADLEY, PSYCHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Specialist (License #22628 in TX)

🟢
Initial NPI Registration & Enumeration August 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619969003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: July 12, 2007
Sole Proprietor: No

Mailing Address

2692 W Walnut St, Suite 105

Garland, TX 750426474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.