Healthcare Provider Details

I. General information

NPI: 1609277367
Provider Name (Legal Business Name): BRADLEY WILLIAM POWER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WEST HOSPITAL DRIVE
WHITERIVER AZ
85941
US

IV. Provider business mailing address

200 WEST HOSPITAL DRIVE
WHITERIVER AZ
85941
US

V. Phone/Fax

Practice location:
  • Phone: 928-338-4911
  • Fax: 928-338-3534
Mailing address:
  • Phone: 928-338-4911
  • Fax: 928-338-3534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1248793
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: