Dr Bradley Neal Axelrod, PHD is a
Clinical Neuropsychologist based in Detroit, Michigan. Dr Bradley Neal Axelrod is licensed to practice in Michigan (license number 6301007688) and his current practice location is
4646 John R St, Psychology Section (11mh-ps), Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 576-1000.
NPI number for Dr Bradley Neal Axelrod is 1316950678 and his current mailing address is 4646 John R St, Psychology Section (11mh-ps), Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316950678.
Healthcare Provider's Profile
| Full Name | Dr Bradley Neal Axelrod |
|---|
| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 4646 John R St, Detroit, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316950678
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 01/27/2015
Medical Identifiers
Medical identifiers for Dr Bradley Neal Axelrod such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316950678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6301007688 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301007688 (Michigan) | 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. Dr Bradley Neal Axelrod 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 |
|---|
Dr Bradley Neal Axelrod, PHD
4646 John R St, Psychology Section (11mh-ps),
Detroit, MI 48201-1916
Ph: (313) 576-1000 | Dr Bradley Neal Axelrod, PHD
4646 John R St, Psychology Section (11mh-ps),
Detroit, MI 48201-1916
Ph: (313) 576-1000 |
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