Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley R Holt, MA, MBA

Individual provider Professional Counselor · NPI 1578997060

Bradley R Holt, MA, MBA is a Mental Health Counselor in Radnor, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Brightside Medical PC, a 62-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
14
Licensed in
IL, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

175 King Of Prussia Rd
Radnor, PA 19087-4521
Phone: (610) 644-6464
Fax: (610) 981-6078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC008645 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X · Licence 180017377 (IL)

Record details

NPI number1578997060
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , MBA
Sole proprietorNo
NPI enumeratedSeptember 3, 2013
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Brightside Medical Pc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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