Individual provider Active NPI

Gia M Bradley, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1083771174
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P21327 Issued in MD
Practice address
Sinai Medical Office Building, Suite 407
2411 West Belvedere Avenue
Baltimore, MD 21215-2121
Phone
(410) 601-8663
Fax
(410) 601-8663
NPI assigned
Jan 2, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P21327 MD Primary

Addresses

Primary practice location

Sinai Medical Office Building, Suite 407
2411 West Belvedere Avenue
Baltimore, MD 21215-2121

Mailing address

2411 W Belvedere Ave
Baltimore, MD 21215-5228
Phone (410) 601-8663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gbradley@lifebridgehealth.org Direct Sinai Hospital of Baltimore, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000397 MD Practitioner - Pediatric Medicine 5991969552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P21327MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 1, 2012 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2411 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-5700

2411 W Belvedere Ave
Ste 407
Baltimore, MD 21215
Phone (410) 601-8663

Organizations & group practices 4

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083771174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-601-8663",
            "fax_number": "410-601-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SINAI MEDICAL OFFICE BUILDING, SUITE 407",
            "address_2": "2411 WEST BELVEDERE AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152121",
            "telephone_number": "410-601-8663",
            "fax_number": "410-601-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "GIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "P21327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbradley@lifebridgehealth.org",
            "affiliation": "Y",
            "affiliationName": "Sinai Hospital of Baltimore, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Sinai Medical Office Building, Suite 407",
            "address_2": "2411 West Belvedere Avenue",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212152121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.