JOSHUA M BRADLEY – Psychologist, NPI 1730228123

JOSHUA M BRADLEY is a healthcare provider. based in Laurel fork, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 0810004677 (VA). The NPI Number for JOSHUA M BRADLEY is 1730228123

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA M BRADLEY
NPI
1730228123
Phone
(276) 398-2292
Address
14558 Danville Pike
Enumeration Date
5 February 2007
Last Update Date
11 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403654469
Graduation Year
2012 (14 years ago)
PAC ID
5991950099
Group Practice PAC ID
6204748296
Professional Enrollment ID
I20130220000547
Address ID
VA240881100FE40XXXDRXX300

Contacts

Other Endpoint
wedonotusethis
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

668 CLINICAL PSYCHOLOGIST in VA

Provider Addresses for JOSHUA M BRADLEY

  • 14558 Danville Pike

    Laurel Fork, VA 243523982

    Phone: (276) 398-2292

    Fax: (276) 398-3331

    Type: Location

  • 140 Christiansburg Pike NE

    Floyd, VA 240913742

    Phone: (540) 745-9290

    Fax: (540) 745-9293

    Type: Location

  • 14558 DANVILLE PIKE

    LAUREL FORK, VA 243523982

    Phone: (276) 398-2292

    Fax: (276) 398-3331

    Type: Mailing

  • 180 FERRUM MOUNTAIN RD

    FERRUM, VA 240882939

    Phone: (540) 365-4469

    Fax: (540) 365-4272

    Type: Location

  • PO BOX 9

    LAUREL FORK, VA 243520009

    Phone: (276) 398-1200

    Fax: (276) 398-3331

    Type: Mailing

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: 2013-02-20

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
I20130220000547IClinical PsychologistVATBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 24352)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204748296View full group profile
NameSpecialtyState
-VA
Physician AssistantVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerNC
-VA
Nurse PractitionerVA
Registered Dietitian Or Nutrition ProfessionalVA
Nurse PractitionerVA
-VA

Reviews

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Frequently asked questions

What federal number belongs to JOSHUA M BRADLEY?
The federal identifier for JOSHUA M BRADLEY is NPI 1730228123.
Is JOSHUA M BRADLEY active in the national directory?
JOSHUA M BRADLEY's public NPI profile is in an active state.
What kind of provider is JOSHUA M BRADLEY?
The page reflects Psychologist for JOSHUA M BRADLEY. Clinical services aligned with this taxonomy classification.
Where does public data place JOSHUA M BRADLEY?
The snapshot lists Laurel Fork, Virginia for JOSHUA M BRADLEY; download NPPES for the complete set.
What if Laurel Fork, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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