Bradley R Holt, MA, MBA in Radnor, PA - Medicare Mental Health Counselor Provider

Bradley R Holt, MA, MBA is a medicare enrolled "Counselor - Professional" provider in Radnor, Pennsylvania. He graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Brightside Medical Pc and his current practice location is 175 King Of Prussia Rd, Radnor, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 644-6464.

Bradley R Holt is licensed to practice in Pennsylvania (license number PC008645) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578997060.

Contact Information

	Bradley R Holt, MA, MBA
	175 King Of Prussia Rd, Radnor, PA 19087-4521
	(610) 644-6464
	(610) 981-6078

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley R Holt
Gender	Male
Speciality	Mental Health Counselor
Experience	14 Years
Location	175 King Of Prussia Rd, Radnor, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley R Holt graduated from medical school in 2012

NPI Data:

NPI Number: 1578997060
Provider Enumeration Date: 09/03/2013
Last Update Date: 05/20/2026

Medicare PECOS Information:

PECOS PAC ID: 3072059047
Enrollment ID: I20240725004343

Medical Identifiers

Medical identifiers for Bradley R Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578997060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC008645 (Pennsylvania)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	180017377 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brightside Medical Pc	4082089461	60

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradley R Holt allows following entities to bill medicare on his behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230418000266

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 R Holt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bradley R Holt, MA, MBA 680 American Ave, Suite 302, King Of Prussia, PA 19406-4023 Ph: (610) 644-6464	Bradley R Holt, MA, MBA 175 King Of Prussia Rd, Radnor, PA 19087-4521 Ph: (610) 644-6464

Reviews and Comments

Counselor in Radnor, PA

Taylor Owens, MS,MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 King Of Prussia Rd Fl 2, Radnor, PA 19087 Phone: 484-654-2966
Zoe Bianca Kahn, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 King Of Prussia Rd Ste 650, Pmb # 7, Radnor, PA 19087 Phone: 484-254-6595
Diana J Paisley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-527-9360
Caroline M Hogan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-644-6464 Fax: 610-981-6078
Lisa Mimmo, PSY.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 King Of Prussia Rd, Radnor, PA 19087 Phone: 215-482-8000
Dr. Shynita Dionne Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: Vicki Tornetta Counseling, Llc, 290 King Of Prussia Rd, Building 2, Suite 300, Radnor, PA 19087 Phone: 216-930-8002
Jibri Aswad Mclean, M.S., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Radnor Chester Rd Ste F200, Radnor, PA 19087 Phone: 267-587-6722

Bradley R Holt, MA, MBA - Medicare Counselor in Radnor, PA