Callie Bradley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024186726 Issued in VA

Practice address

10 S 2000 E
Salt Lake City, UT 84112-5880

Phone

(801) 581-3414

NPI assigned

Jun 21, 2016

Last updated

Sep 20, 2024By the provider in NPPES

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

Enrolled in UT, AR, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Fayetteville, N College Avenue

  • Urgent Care Clinic/Center
  • Fayetteville, AR
  • NPI 1578984357
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Bluefield

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878
  Medicare reassignment NPD
• University of Utah Adult Services

  dba University of Utah Hospital Radiology Department

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD
• University of Utah Adult Services

  dba U of U Pain Management Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Salt Lake City, UT
  • NPI 1730583733
  NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Pine Bluff, S Olive St

  • Urgent Care Clinic/Center
  • Pine Bluff, AR
  • NPI 1154784882
  NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Bentonville, SE Walton Blvd

  • Urgent Care Clinic/Center
  • Bentonville, AR
  • NPI 1376964056
  NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1225563679
  NPD
• Bon Secours Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1265160501
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1053761924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S MASON ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228071050",
            "telephone_number": "435-559-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 2000 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125880",
            "telephone_number": "801-581-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 E Market St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228015100",
            "country_code": "US",
            "telephone_number": "540-432-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "724 S Mason St",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228071050",
            "country_code": "US",
            "telephone_number": "435-559-4653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "CALLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8635924-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Emma Bradford
• McKenzie Lynn Bradford
• Misha Bradford, P.T.
• Nancy Bradish, LCSW
• Benjamin T. Bradley, M.D., PH.D.
• Jessica Bradley
• Joshua David Bradley, M.D.
• Kirsten Davies Bradley, PA-C
• Laine Bradley, PA-S
• Madison Ashlee Bradley, PHYSICIAN ASSISTANT

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.