Dierdre Bradley
Individual provider Active NPI Home Health Aide · Marmet, WV
NPI 1003609686 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1003609686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 945 98TH St
Marmet, WV 25315-1907 - Phone
- (304) 881-3177
- NPI assigned
- May 27, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
945 98TH St
Marmet, WV 25315-1907
Mailing address
945 98TH St
Marmet, WV 25315-1907
Other providers in Marmet, WV
- 1 Sutphin Drive Operations LLC
- Teresa Darlene Barker
- Earl Thomas Bennett
- Mistie Dawn Bess
- Jonathan Thomas Burnside
- Sandra Sue Campbell
- Darlene Chapman
- Jo Anne Christian
- Carrie Janel Christman
All providers in Marmet, WV · Home Health Aide in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.