Individual provider Active NPI

Courtney E Bradley

  • Family Nurse Practitioner
  • Cambridge City, IN
National Provider Identifier
1083241012
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009971A Issued in IN
Practice address
2060 Indiana 1
Cambridge City, IN 47327
Phone
(765) 478-5395
NPI assigned
Mar 27, 2020
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009971A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71009971A IN

Addresses

Primary practice location

2060 Indiana 1
Cambridge City, IN 47327

Mailing address

2060 N State Road 1
Cambridge City, IN 47327-9436
Phone (765) 478-5395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200428000789 IN Practitioner - Nurse Practitioner 6709216021 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71009971AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Apr 27, 2020 Accepting new patients
CNP Operating Co LLC CurrentSince Oct 1, 2024 Accepting new patients
Meridian Health Services Corp CurrentSince Apr 27, 2020 Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Major Hospital Past Accepting new patients
Pinnacletreatment Centers in-1, LLC Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients

Locations

707 W 3rd St
Connersville, IN 47331
Phone (765) 827-1164

240 N Tillotson Ave
Muncie, IN 47304

500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1083241012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N STATE ROAD 1",
            "city": "CAMBRIDGE CITY",
            "state": "IN",
            "postal_code": "473279436",
            "telephone_number": "765-478-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 INDIANA 1",
            "city": "CAMBRIDGE CITY",
            "state": "IN",
            "postal_code": "47327",
            "telephone_number": "765-478-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "COURTNEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009971A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71009971A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge City, IN

Sources for this page

Verify at the official NPI Registry.