Healthcare Provider Details

I. General information

NPI: 1639003395
Provider Name (Legal Business Name): CHRISTOPHER A BRADLEY BT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHRISTOPHER GRANT ANDREW FOSTER BRADLEY BT

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 BROADWAY STE 1600
DENVER CO
80202-5160
US

IV. Provider business mailing address

26 E 5TH AVE 620
DENVER CO
80203
US

V. Phone/Fax

Practice location:
  • Phone: 303-549-8863
  • Fax:
Mailing address:
  • Phone: 303-549-8863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: