Deactivated NPI 1134761448 Deactivated / Inactive NPI Male Practitioner

Marques Bradley , STA

Specialist/Technologist - Speech-Language Assistant • San Antonio, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marques Bradley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 09, 2019

NPI Deactivation Date November 27, 2025

Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Marques Bradley, STA was a registered Specialist/Technologist - Speech-Language Assistant practicing in San Antonio, TX. Throughout an active medical career spanning 6 years, Marques Bradley provided care at the practice location at 13333 BLANCO RD STE 310 until profile deactivation on 2025-11-27.

Practice Location & Contact Primary Location

Practice Address

13333 Blanco Rd Ste 310

San Antonio, TX 782167756

Telephone 2104795875

Fax 2104792911

Associated Practice Facility / Clinic

🏢 Simply The Best Home Therapy, Llc Facility NPI 1962818005

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in San Antonio, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 3.0 Yrs

State Avg: 3.0 Yrs

Regional Practice Density

298 Specialists

Practicing in San Antonio, TX (3463 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/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 36060

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kimberly Rodriquez , SLP

Speech-Language Pathologist

NPI 1003544701

Speech-Language Pathologist

Samantha Nakiza

Occupational Therapist

NPI 1003684242

Ashley Meeks , SLP-ASSISTANT

Specialist/Technologist - Speech-Language Assistant

NPI 1053079160

SLPASSISTANT

Mirtha Martinez , SLP-ASSISTANT

Specialist/Technologist - Speech-Language Assistant

NPI 1053201012

SLPASSISTANT

Ana Gaona , SLP ASSISTANT

Specialist/Technologist - Speech-Language Assistant

NPI 1063176709

SLPASSISTANT

Maria Terrazas , SLP-ASSISTANT

Specialist/Technologist - Speech-Language Assistant

NPI 1063758233

SLPASSISTANT

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

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NPI Profile Active October 09, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 09, 2019

Registered at 13333 BLANCO RD STE 310, SAN ANTONIO, TX 782167756 (Tel: 2104795875)

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Updated Business Mailing Address October 09, 2019

Registered at 13333 BLANCO RD STE 310, SAN ANTONIO, TX 782167756 (Tel: 2104795875)

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Provider Name / Credentials Updated October 09, 2019

Recorded as MARQUES BRADLEY, STA

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2019

Specialist/Technologist (License #36060 in TX)

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Initial NPI Registration & Enumeration October 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1134761448

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 09, 2019

Last Update: October 09, 2019

Deactivation Date: November 27, 2025

Update or Correct Profile

Mailing Address

13333 Blanco Rd Ste 310

San Antonio, TX 782167756

Phone: 2104795875

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.