DR. BRADLEY NEAL AXELROD (PH.D.) – Clinical Neuropsychologist, NPI 1316950678

DR. BRADLEY NEAL AXELROD (PH.D.) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301007688 (MI). The NPI Number for DR. BRADLEY NEAL AXELROD (PH.D.) is 1316950678

Main info

Male
Sole Proprietor
37 Years Of Experience
Name
DR. BRADLEY NEAL AXELROD (PH.D.)
NPI
1316950678
Phone
(313) 576-1000
Address
4646 JOHN R ST
Enumeration Date
15 August 2006
Last Update Date
27 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
6204322605
Professional Enrollment ID
I20260106002492
Address ID
MI481044525AN2350XAVEX315
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. BRADLEY NEAL AXELROD (PH.D.)

  • John D. Dingell VA Medical Center, 4646, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    PSYCHOLOGY SECTION (11MH-PS)

    DETROIT, MI 482011916

    Phone: (313) 576-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260106002492IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRADLEY NEAL AXELROD (PH.D.)'s NPI?
Yes. DR. BRADLEY NEAL AXELROD (PH.D.) is listed with NPI 1316950678 in the public NPI dataset.
Is DR. BRADLEY NEAL AXELROD (PH.D.) still practicing?
DR. BRADLEY NEAL AXELROD (PH.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. BRADLEY NEAL AXELROD (PH.D.) hold?
Scheduling teams often label DR. BRADLEY NEAL AXELROD (PH.D.) under Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is DR. BRADLEY NEAL AXELROD (PH.D.) based?
DR. BRADLEY NEAL AXELROD (PH.D.) is tied to Detroit, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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