Stephanie Suzanne Bradley, AUD, CCC-A, F-AAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-0294 Issued in WV

Practice address

2436 Pennsylvania Ave
Weirton, WV 26062-3660

Phone

(304) 914-4423

NPI assigned

Feb 19, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pittsburgh Ear LLC

  • Audiologist
  • Wexford, PA
  • NPI 1235608365
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013257641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623660",
            "telephone_number": "304-914-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623660",
            "telephone_number": "304-914-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 East North Avenue",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-321-2480 x276",
            "fax_number": "412-321-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "STEPHANIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A, F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006282",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Boniti, PHARMD
• Mary Elizabeth Boring
• Christian Bosquet, M.D.
• John M Boyd, RPH PHARMACIST
• Jonathan Boyles
• Lisa Brancazio, MD
• Keith Michael Bravo, MD
• Tiffany Morgan Bright, NP
• Brijinder S Kochhar MD
• Brijinder S. Kochhar, MD, PLLC

• Audiologist in Weirton, WV
• Providers in Weirton, WV by specialty
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.