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

Mr. Bradley Ray Bolin, BS

Individual provider Counselor · NPI 1104127141

Mr. Bradley Ray Bolin, BS is a Counselor in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2010
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

3100 S Elm Pl Ste B
Broken Arrow, OK 74012-7950
Phone: (918) 286-2535
Fax: (918) 286-7693
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OK)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1104127141
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedNovember 8, 2010
Last updated in NPPESNovember 8, 2010
Mailing address3100 S Elm Pl Ste B, Broken Arrow, OK 74012-7950

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