Individual
DR. BRADLEY WILLIAM SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2400 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-1734
(505) 272-6308
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
738
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09702784
—
CO
05
—
955627
—
AZ
01
—
NM01JB06
BLUE SHIELD
NM
Enumeration date
07/07/2006
Last updated
05/22/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us