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Bradley Craig Pitts

Physician β€’ Cleveland, OH

Deactivated NPI 1497391072 Deactivated in NPPES Male Practitioner
Practice location in NPPES

5162 Broadway Ave
Cleveland, OH 441271571

Phone: 2164410200

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 12, 2026; the reason is not published. The records below are historical. They do not show whether Bradley Pitts currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 19, 2019
NPI Deactivation Date March 12, 2026
NPI Active Period 2019 – 2026

Practice Location & Contact Primary Location

Practice Address

5162 Broadway Ave

Cleveland, OH 441271571

Telephone 2164410200
Fax 2164413637
Organization at the Same NPPES Address or Phone
Gagan C Mallik Md Inc Facility NPI 1770687873

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Cleveland and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated March 12, 2026

NPPES lists this NPI as deactivated as of March 12, 2026; the reason is not published.

βœ…
NPI Profile Active November 19, 2019

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 19, 2019

Registered at 5162 BROADWAY AVE, CLEVELAND, OH 441271571 (Tel: 2164410200)

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Business Mailing Address (Initial Record) November 19, 2019

Registered at 5162 BROADWAY AVE, CLEVELAND, OH 441271571 (Tel: 2164410200)

πŸ‘€
Provider Name / Credentials (Initial Record) November 19, 2019

Recorded as BRADLEY PITTS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2019

Substance Abuse Rehabilitation Facility

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Initial NPI Registration & Enumeration November 19, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497391072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2019
Last Update: November 19, 2019
Deactivation Date: March 12, 2026

Mailing Address

5162 Broadway Ave

Cleveland, OH 441271571

Phone: 2164410200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.