Bradley Dean Gault, MA is a
Psychologist - Clinical Child & Adolescent based in Mineral Wells, West Virginia. Bradley Dean Gault is licensed to practice in West Virginia (license number 859) and his current practice location is
98 Liberty Ln, Mineral Wells, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 482-2959.
NPI number for Bradley Dean Gault is 1316396062 and his current mailing address is 98 Liberty Ln, Mineral Wells, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316396062.
Healthcare Provider's Profile
Full Name | Bradley Dean Gault |
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Gender | Male |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 98 Liberty Ln, Mineral Wells, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316396062
- Provider Enumeration Date: 06/03/2016
- Last Update Date: 06/03/2016
Medical Identifiers
Medical identifiers for Bradley Dean Gault such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316396062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | 859 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Dean Gault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bradley Dean Gault, MA 98 Liberty Ln, Mineral Wells, WV 26150-1605 Ph: (304) 482-2959 | Bradley Dean Gault, MA 98 Liberty Ln, Mineral Wells, WV 26150-1605 Ph: (304) 482-2959 |
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