NPI 1609624113 · live from the CMS NPI Registry
James Gibson Bradt, OD
Optometrist in Pendleton, OR. National Provider Identifier 1609624113, active.
NPI record
| NPI | 1609624113 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1100 Southgate Ste 5, Pendleton, OR 97801 |
| Practice phone | 541-310-1728 |
| Enumerated | May 9, 2024 |
| Last updated | February 11, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | ATI4736 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.