Active NPI
John F Bradley, M.D.
- Adolescent Medicine (Family Medicine) Physician
- Columbus, OH
National Provider Identifier
1023455441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- 35049656
- Practice address
- 30 W Spring St FL 5
Columbus, OH 43215-2241 - Phone
- (614) 466-6239
- Fax
- (614) 728-0472
- NPI assigned
- May 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 35049656 | OH | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 35049656 | OH | Primary |
Addresses
Primary practice location
30 W Spring St FL 5
Columbus, OH 43215-2241
Mailing address
30 W Spring St FL 5
Columbus, OH 43215-2241
Phone (614) 466-6239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0616604 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049656 | OH | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1023455441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W SPRING ST FL 5",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152241",
"telephone_number": "614-466-6239",
"fax_number": "614-728-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W SPRING ST FL 5",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152241",
"telephone_number": "614-466-6239",
"fax_number": "614-728-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OH",
"license": "35049656",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "OH",
"license": "35049656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0616604",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.