MEDICARE: BRADLEY PHILLIP BOGDAN MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487907366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY PHILLIP BOGDAN MSW

Provider Business Mailing Address
First Line	:	2900 E 29TH ST STE 100
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-2623
Country	:	US
Telephone Number	:	979-436-0483
Fax Number	:	877-601-5854

Provider Business Practice Location Address
First Line	:	8441 STATE HIGHWAY 47 STE 1400
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77807-3208
Country	:	US
Telephone Number	:	979-776-8440
Fax Number	:	877-601-5854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2012
Last Update Date	:	07/15/2020

Similar Medicare Providers

1396730388 — DR. ALBERT CHARLES LO M.D.
Practice Location Address:

8441 STATE HIGHWAY 47 STE 1400
BRYAN, TX
77807-3208

Practice Phone: 979-774-8200
Practice Fax: 877-607-5854

1972630507 — DR. DARLENE WARRICK MCLAUGHLIN MD
Practice Location Address:

8441 STATE HIGHWAY 47 STE 1400
BRYAN, TX
77807-3208

Practice Phone: 979-774-8200
Practice Fax: 877-607-5854

1023500709 — AVA SMITH PA
Practice Location Address:

8441 STATE HIGHWAY 47 STE 1400
BRYAN, TX
77807-3208

Practice Phone: 979-774-8200
Practice Fax: 877-601-5854

1194641001 — TAYLOR YOUNG
Practice Location Address:

5795 RYE SCHOOL RD
BRYAN, TX
77807-5233

Practice Phone: 979-204-5713
Practice Fax:

1417873399 — ASHTEN HARRIS
Practice Location Address:

2028 MOUNTAIN WIND LOOP
BRYAN, TX
77807-5119

Practice Phone: 979-204-7535
Practice Fax:

1467378117 — SAMUEL CUNNINGHAM
Practice Location Address:

3040 HICKORY RIDGE CIR
BRYAN, TX
77807-4853

Practice Phone: 903-245-2307
Practice Fax:

Directions to “ BRADLEY PHILLIP BOGDAN MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.